Organization Active NPI

Hoefer Well Connected Chiropractic Corp

  • Chiropractor
  • Mission Viejo, CA
National Provider Identifier
1962962365
Registry record updated Dec 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HOEFER WELL CONNECTED CHIROPRACTIC CORP
Practice address
26302 La Paz Rd Ste 214
Mission Viejo, CA 92691-5328
Phone
(949) 359-8385
Fax
(949) 359-8386
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2022

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

Authorized official

Name
Elizabeth Hoefer, DCNPI 1720217730
Title
Ceo, DC
Phone
(563) 505-7511

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

26302 La Paz Rd Ste 214
Mission Viejo, CA 92691-5328

Mailing address

28752 Bolanos
Mission Viejo, CA 92692-1055
Phone (563) 505-7511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190607002419 CA Part B Supplier - Clinic/Group Practice 0648503557 Receives reassigned benefits from 2 practitioners
Practice locations: Mission Viejo, CA

National Provider Directory

National Provider Directory

Locations

25909 Pala
Ste 190
Mission Viejo, CA 92691
Phone (949) 359-8385

26302 La Paz Rd
Ste 214
Mission Viejo, CA 92691
Phone (949) 359-8385

Practitioners & affiliated clinicians

Practitioners 2

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": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670112000000",
    "number": "1962962365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28752 BOLANOS",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921055",
            "telephone_number": "563-505-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD STE 214",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915328",
            "telephone_number": "949-359-8385",
            "fax_number": "949-359-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOEFER WELL CONNECTED CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A",
        "authorized_official_last_name": "HOEFER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO, DC",
        "authorized_official_telephone_number": "563-505-7511",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; 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.