DR. KENNETH STEVEN HIDEMAN DC NPI 1295749315

NPI Information

  • NPI: 1295749315
  • Provider Name: DR. KENNETH STEVEN HIDEMAN, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 1131 S INDIANA AVE
    GOSHEN, IN
    ZIP 46526
  • Phone: (574) 533-0770

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NPI Details

DR. Kenneth Steven Hideman, DC is a chiropractor in Goshen, IN. The provider is 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. DR. Kenneth Steven Hideman, DC NPI is 1295749315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1131 S INDIANA AVE
GOSHEN, IN
ZIP 46526-207
Phone: (574) 533-0770
Fax: (574) 534-0770

The enumeration date for this NPI number is 7/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor08001551INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000387548OTHERINDIANAANTHEM
2U36966MEDICARE UPININDIANA
3229130MEDICARE ID-TYPE UNSPECIFIEDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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