Individual provider Active NPI

Kenneth Eric Hutchison, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1033654165
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8585 Issued in AZ
Practice address
777 E Thunderbird Rd Ste 102
Phoenix, AZ 85022-5335
Phone
(602) 327-1818
NPI assigned
Dec 28, 2016
Last updated
Dec 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8585 AZ Primary

Addresses

Primary practice location

777 E Thunderbird Rd Ste 102
Phoenix, AZ 85022-5335

Mailing address

777 E Thunderbird Rd Ste 102
Phoenix, AZ 85022-5335
Phone (602) 327-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8585AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine of Arizona, LLC CurrentSince Jan 1, 2021 Accepting new patients
Chiropure Spine & Injury Chiropractor PastSince Sep 18, 2020 Accepting new patients
Sheitelman Medical PLC Past Accepting new patients

Locations

3570 S Val Vista Dr
Ste 109
Gilbert, AZ 85297
Phone (480) 570-6084

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1033654165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E THUNDERBIRD RD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225335",
            "telephone_number": "602-327-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E THUNDERBIRD RD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225335",
            "telephone_number": "602-327-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "KENNETH",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.