NPIMap

Organization Active NPI

Stephen L. Hutti & Mark E. Hutti PTR

Doing business as Hutti Chiropractic Center

  • Chiropractor
  • Charleston, IL
National Provider Identifier
1033119185
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038003918/038004010 Issued in IL
Legal business name
STEPHEN L. HUTTI & MARK E. HUTTI PTR
Doing business as
Hutti Chiropractic Center
Practice address
655 W Lincoln Ave
Suite 2
Charleston, IL 61920-2426
Phone
(217) 348-1450
Fax
(217) 348-1451
NPI assigned
Jul 29, 2005
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Dr. Stephen L Hutti, D.C.NPI 1598765281
Title
Doctor of Chiropractic
Phone
(217) 348-1450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038003918/038004010 IL Primary

Addresses

Primary practice location

655 W Lincoln Ave
Suite 2
Charleston, IL 61920-2426

Mailing address

655 W Lincoln Ave
Suite 2
Charleston, IL 61920-2426
Phone (217) 348-1450

Other names 1

  • Hutti Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080107000718 IL Part B Supplier - Clinic/Group Practice 2466532197 Receives reassigned benefits from 3 practitioners
Practice locations: Charleston, IL

National Provider Directory

National Provider Directory

Locations

655 W Lincoln Ave
Ste 2
Charleston, IL 61920
Phone (217) 348-1450

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1033119185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W LINCOLN AVE",
            "address_2": "SUITE 2",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202426",
            "telephone_number": "217-348-1450",
            "fax_number": "217-348-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W LINCOLN AVE",
            "address_2": "SUITE 2",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202426",
            "telephone_number": "217-348-1450",
            "fax_number": "217-348-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L. HUTTI & MARK E. HUTTI PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "HUTTI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "217-348-1450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038003918/038004010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hutti Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.