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DR. JACK DANIEL HINDERMAN D.C.
NPI 1053363077
Chiropractor in Dubuque, IA

Active since May 17, 2006
998 FREMONT AVE, STE. L1, DUBUQUE, IA 52003(563) 556-6921(563) 556-6923 Get Directions Write a Review

NPPES record last updated: November 3, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jack Daniel Hinderman D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK DANIEL HINDERMAN D.C. (NPI 1053363077) is an individual chiropractor in Dubuque, Iowa, licensed in Iowa (06886) and active in the NPI registry since May 2006. He is a graduate of Other (2005).

NPPES Registry Identity

NPI1053363077
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACK DANIEL HINDERMANCredential: D.C.
Location Address998 FREMONT AVE, STE. L1Dubuque, IA 52003-0300
Mailing Address998 Fremont Ave, Ste. L1Dubuque, IA 52003-0300 · (563) 556-6921 · Fax (563) 556-6923
Phone(563) 556-6921
Fax(563) 556-6923
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 17, 2006
Last NPPES UpdateNovember 3, 2008
✔ NPI 1053363077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · 06886
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
998 FREMONT AVE, Dubuque, IA 52003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Daniel Hinderman D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527157247
PECOS Enrollment IDI20080306000148

Medicare Billing Reassignment

Medicare enrollment records show Jack Hinderman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hinderman Chiropractic Inc.
Same address
Clinic/Center
998 FREMONT AVE, STE. L1
Dubuque, IA 52003
  • Reassigned Medicare billing, Iowa enrollment
  • 2 clinicians in this Medicare group
NPI 1821278631 (563) 556-6921

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
68 services12 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER LEIST D.C.
Chiropractor
998 FREMONT AVE, SUITE L1
DUBUQUE, IA 52003
Dubuque County (563) 556-6921
HINDERMAN CHIROPRACTIC INC.
Clinic/Center
998 FREMONT AVE, STE. L1
DUBUQUE, IA 52003
Dubuque County (563) 556-6921

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Hinderman's NPI number?

The NPI number for Jack Hinderman is 1053363077. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Jack Hinderman located?

Jack Hinderman practices at 998 Fremont Ave Ste. L1, Dubuque, IA 52003. The listed phone number is (563) 556-6921.

What is Jack Hinderman's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jack Hinderman enrolled in Medicare?

Yes. Jack Hinderman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jack Hinderman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Hinderman reassigns Medicare benefits to Hinderman Chiropractic Inc. (Dubuque, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Hinderman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Hinderman was last updated on November 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.