Active NPI
William Henry Hoffman Jr., DC
- Chiropractor
- Campbell, CA
National Provider Identifier
1881702140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14049
- Practice address
- 1885 Winchester Blvd
Campbell, CA 95008 - Phone
- (408) 370-2190
- Fax
- (408) 379-0947
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14049 | CA | Primary |
Addresses
Primary practice location
1885 Winchester Blvd
Campbell, CA 95008
Mailing address
1885 Winchester Blvd
Campbell, CA 95008
Phone (408) 370-2190
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881702140 | Other | NPI | |
| 77-0073702 | Other | CA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040831001593 | CA | Practitioner - Chiropractic | 0749255891 | Practice locations: Campbell, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1885 S Winchester Blvd
Campbell, CA 95008-1100
Phone (408) 370-2190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14049 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371772800000",
"number": "1881702140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 WINCHESTER BLVD",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "95008",
"telephone_number": "408-370-2190",
"fax_number": "408-379-0947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 WINCHESTER BLVD",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "95008",
"telephone_number": "408-370-2190",
"fax_number": "408-379-0947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "WILLIAM",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2013-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "14049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1881702140",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "77-0073702",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.