Active NPI
John M Hoeffner, BS DC BCAO
- Chiropractor
- Brunswick, GA
National Provider Identifier
1891970141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10285
- Practice address
- 712 Mall Blvd
Brunswick, GA 31525-0539 - Phone
- (912) 264-8480
- Fax
- (912) 264-8514
- NPI assigned
- Jan 7, 2008
- 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 | 10285 | GA | Primary |
Addresses
Primary practice location
712 Mall Blvd
Brunswick, GA 31525-0539
Mailing address
712 Mall Blvd
Brunswick, GA 31525-0539
Phone (912) 264-8480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10285 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1891970141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 MALL BLVD",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315250539",
"telephone_number": "912-264-8480",
"fax_number": "912-264-8514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 MALL BLVD",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315250539",
"telephone_number": "912-264-8480",
"fax_number": "912-264-8514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEFFNER",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "BS DC BCAO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-07",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "10285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.