Organization Active NPI

Hoffman Chiropractic Center, PC

  • Chiropractor
  • Saint Charles, MO
National Provider Identifier
1982728242
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005025 Issued in MO
Legal business name
HOFFMAN CHIROPRACTIC CENTER, PC
Practice address
3864 Mexico Rd
Saint Charles, MO 63303-3041
Phone
(636) 477-8818
Fax
(636) 477-8012
NPI assigned
Mar 19, 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. James Frederick Hoffman, D.C.
Title
President
Phone
(636) 477-8818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 005025 MO Primary

Addresses

Primary practice location

3864 Mexico Rd
Saint Charles, MO 63303-3041

Mailing address

3864 Mexico Rd
Saint Charles, MO 63303-3041

Other identifiers 6

IdentifierTypeStateIssuer
0004637868OtherMOAETNA PROVIDER ID
177348OtherMOBLUE CROSS BLUE SHIELD
P00074843OtherMOMEDICARE RAILROAD
119319OtherMOHEALTHLINK PROVIDER ID
125771OtherMOHEALTHPARTNERS
167305OtherMOGROUP HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

3864 Mexico Rd
Saint Charles, MO 63303
Phone (636) 477-8818

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982728242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3864 MEXICO RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033041",
            "fax_number": "636-477-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3864 MEXICO RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033041",
            "telephone_number": "636-477-8818",
            "fax_number": "636-477-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOFFMAN CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-477-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "0004637868",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "177348",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00074843",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER ID",
            "identifier": "119319",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "125771",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "167305",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

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.