Active NPI
Edward E Hutter, D.C.
- Chiropractor
- Groton, CT
National Provider Identifier
1073679569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 000758
- Practice address
- 1353 Gold Star Hwy
Ste 106
Groton, CT 06340-2755 - Phone
- (860) 326-5869
- Fax
- (860) 326-5728
- NPI assigned
- Dec 29, 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 | 000758 | CT | Primary |
Addresses
Primary practice location
1353 Gold Star Hwy
Ste 106
Groton, CT 06340-2755
Mailing address
1353 Gold Star Hwy
Ste 106
Groton, CT 06340-2755
Phone (860) 572-1046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1353 Gold Star Hwy
Suite 106
Groton, CT 06340-2755
Phone (860) 326-5869
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000758 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Physical Therapy of Southern New England LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Groton, CT
- NPI 1396844304
-
- Specialist
- Norwich, CT
- NPI 1043488059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1073679569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 GOLD STAR HWY",
"address_2": "STE 106",
"city": "GROTON",
"state": "CT",
"postal_code": "063402755",
"telephone_number": "860-572-1046",
"fax_number": "860-536-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1353 GOLD STAR HWY",
"address_2": "STE 106",
"city": "GROTON",
"state": "CT",
"postal_code": "063402755",
"telephone_number": "860-326-5869",
"fax_number": "860-326-5728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTTER",
"first_name": "EDWARD",
"middle_name": "E",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "000758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.