Organization Active NPI

Hackler Chiropractic Center, P.C.

  • Chiropractor
  • Winslow, AZ
National Provider Identifier
1952447328
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1049 Issued in AZ
Legal business name
HACKLER CHIROPRACTIC CENTER, P.C.
Practice address
218 N Williamson Ave
Winslow, AZ 86047-3721
Phone
(928) 289-2416
Fax
(928) 289-2416
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melvin Gregory Hackler, D.C.
Title
President
Phone
(928) 289-2416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1049 AZ Primary

Addresses

Primary practice location

218 N Williamson Ave
Winslow, AZ 86047-3721

Mailing address

218 N Williamson Ave
Winslow, AZ 86047-3721
Phone (928) 289-2416

Other identifiers 1

IdentifierTypeStateIssuer
AZ0085170OtherAZBLUECROSSBLUESHIELD

National Provider Directory

National Provider Directory

Locations

218 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-2416

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952447328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N WILLIAMSON AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860473721",
            "telephone_number": "928-289-2416",
            "fax_number": "928-289-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N WILLIAMSON AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860473721",
            "telephone_number": "928-289-2416",
            "fax_number": "928-289-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKLER CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HACKLER",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-289-2416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "1049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "AZ0085170",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winslow, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.