Organization Active NPI

Hatfield Chiropractic Clinic Inc

  • Chiropractor
  • Marysville, OH
National Provider Identifier
1912906728
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1319 Issued in OH
Legal business name
HATFIELD CHIROPRACTIC CLINIC INC
Practice address
130 N Main St
Marysville, OH 43040-1106
Phone
(937) 644-4310
Fax
(937) 644-3228
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffery Charles Hatfield, DCNPI 1467661637
Title
Dr/Owner
Phone
(937) 644-4310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1319 OH Primary

Addresses

Primary practice location

130 N Main St
Marysville, OH 43040-1106

Mailing address

130 N Main St
Marysville, OH 43040-1106
Phone (937) 644-4310

Other identifiers 3

IdentifierTypeStateIssuer
000000134014OtherANTHEM BC/BS
0769397MedicaidOH
279564334-00OtherOHBUREAU WRKRS COMPENSATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041001000683 OH Part B Supplier - Clinic/Group Practice 3577532977 Receives reassigned benefits from 1 practitioner
Practice locations: Marysville, OH

National Provider Directory

National Provider Directory

Locations

130 N Main St
Marysville, OH 43040
Phone (937) 644-4310

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1912906728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N MAIN ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401106",
            "telephone_number": "937-644-4310",
            "fax_number": "937-644-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N MAIN ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401106",
            "telephone_number": "937-644-4310",
            "fax_number": "937-644-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATFIELD CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "937-644-4310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000134014",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0769397",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU WRKRS COMPENSATION",
            "identifier": "279564334-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.