Organization Active NPI

Twin Ports Clinic of Chiropractic Inc

  • Chiropractor
  • Superior, WI
National Provider Identifier
1922166487
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3629-012 Issued in WI
Legal business name
TWIN PORTS CLINIC OF CHIROPRACTIC INC
Practice address
1728 Tower Ave
Superior, WI 54880-2543
Phone
(715) 395-0928
Fax
(715) 395-0930
NPI assigned
Dec 5, 2006
Last updated
Dec 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Dr. James William Hoeffling, D.C.NPI 1376528018
Title
President
Phone
(715) 395-0928

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
Chiropractor 111N00000X 3629-012 WI Primary

Addresses

Primary practice location

1728 Tower Ave
Superior, WI 54880-2543

Mailing address

1728 Tower Ave
Superior, WI 54880-2543
Phone (715) 395-0928

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041109001027 WI Part B Supplier - Clinic/Group Practice 9931162096 Receives reassigned benefits from 1 practitioner
Practice locations: Superior, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1077934Twin Ports Clinic of Chiropractic1728 Tower Ave, Superior, WI 54880Certificate of waiverDec 20, 2027

National Provider Directory

National Provider Directory

Locations

1310 Belknap St
Superior, WI 54880
Phone (715) 395-0928

1728 Tower Ave
Superior, WI 54880
Phone (218) 428-2251

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1922166487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802543",
            "telephone_number": "715-395-0928",
            "fax_number": "715-395-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802543",
            "telephone_number": "715-395-0928",
            "fax_number": "715-395-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN PORTS CLINIC OF CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "HOEFFLING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-395-0928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3629-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.

Verify at the official NPI Registry.