Organization Active NPI

Hometown Wellness, PC

  • Chiropractor
  • Hebron, ND
National Provider Identifier
1992126007
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
826 Issued in ND
Legal business name
HOMETOWN WELLNESS, PC
Practice address
725 Main St
Hebron, ND 58638-7056
Phone
(701) 878-4300
Fax
(701) 878-4300
NPI assigned
Dec 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Dr. Sandee Joy Coleman, D.C.
Title
Doctor of Chiropractic
Phone
(701) 878-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 826 ND Primary

Addresses

Primary practice location

725 Main St
Hebron, ND 58638-7056

Mailing address

PO Box 31
Hebron, ND 58638-0031
Phone (701) 878-4300

Other identifiers 2

IdentifierTypeStateIssuer
N716881OtherNDINDIVIDUAL PTAN NUMBER
1902059926OtherNDINDIVIDUAL NPI NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140212000919 ND Part B Supplier - Clinic/Group Practice 1052540192 Receives reassigned benefits from 2 practitioners
Practice locations: Bismarck, ND; Hebron, ND

National Provider Directory

National Provider Directory

Locations

535 S 7th St
Bismarck, ND 58504
Phone (701) 255-4241

523 N 4th St
Ste 101
Bismarck, ND 58501

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": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1992126007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "HEBRON",
            "state": "ND",
            "postal_code": "586380031",
            "telephone_number": "701-878-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 MAIN ST",
            "city": "HEBRON",
            "state": "ND",
            "postal_code": "586387056",
            "telephone_number": "701-878-4300",
            "fax_number": "701-878-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "SANDEE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "701-878-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN NUMBER",
            "identifier": "N716881",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1902059926",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.