Active NPI
Todd Eric Hoover, DC
- Chiropractor
- Evanston, WY
National Provider Identifier
1992869358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 497
- Practice address
- 545 Cheyenne Dr
Suite a
Evanston, WY 82930 - Phone
- (307) 789-0043
- Fax
- (307) 789-0044
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 497 | WY | Primary |
Addresses
Primary practice location
545 Cheyenne Dr
Suite a
Evanston, WY 82930
Mailing address
545 Cheyenne Dr
Suite a
Evanston, WY 82930
Phone (307) 789-0043
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 649000 | Other | ACN | |
| 302675 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051206000038 | WY | Practitioner - Chiropractic | 4183606783 | Practice locations: Evanston, WY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
545 Cheyenne Dr
Suite a
Evanston, WY 82930-5323
Phone (307) 789-0043
545 Cheyenne Dr a
Evanston, WY 82930-5323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197590400000",
"number": "1992869358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 CHEYENNE DR",
"address_2": "SUITE A",
"city": "EVANSTON",
"state": "WY",
"postal_code": "82930",
"telephone_number": "307-789-0043",
"fax_number": "307-789-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 CHEYENNE DR",
"address_2": "SUITE A",
"city": "EVANSTON",
"state": "WY",
"postal_code": "82930",
"telephone_number": "307-789-0043",
"fax_number": "307-789-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "TODD",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "649000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "302675",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.