Individual provider Active NPI

Timothy Mark Hotz, D.C.

  • Chiropractor
  • Cheyenne, WY
National Provider Identifier
1962798058
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
709 Issued in WY
Practice address
1820 Dillon Ave
Suite 200B
Cheyenne, WY 82001-4252
Phone
(307) 426-4085
NPI assigned
Jun 27, 2011
Last updated
May 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 709 WY Primary

Addresses

Primary practice location

1820 Dillon Ave
Suite 200B
Cheyenne, WY 82001-4252

Mailing address

1820 Dillon Ave
Suite 200B
Cheyenne, WY 82001-4252
Phone (307) 426-4085

Other identifiers 2

IdentifierTypeStateIssuer
W24226OtherWYPTAN
W24227OtherWYMEDICARE PTAN

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

State licenses

LicenseStateTypeSpecialty
761SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vermillion Chiropractic, P.C. Chiropractor PastSince Oct 25, 2011 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1962798058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 DILLON AVE",
            "address_2": "SUITE 200B",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014252",
            "telephone_number": "307-426-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 DILLON AVE",
            "address_2": "SUITE 200B",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014252",
            "telephone_number": "307-426-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTZ",
        "first_name": "TIMOTHY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W24226",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W24227",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.