Individual provider Active NPI

John Stafford Hutton, M.D.

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1073717948
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U5004 Issued in TX
Practice address
2350 N Stemmons Fwy Ste F2400
Dallas, TX 75207-2700
Phone
(469) 488-7100
Fax
(469) 488-7101
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-080545 OH
Pediatrics Physician 208000000X U5004 TX Primary

Addresses

Primary practice location

2350 N Stemmons Fwy Ste F2400
Dallas, TX 75207-2700

Mailing address

2350 N Stemmons Fwy Ste F2400
Dallas, TX 75207-2700
Phone (469) 488-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110125000681 OH Practitioner - Pediatric Medicine 1254510183 Reassigns benefits to 1 organization
I20231206000346 TX Practitioner - Pediatric Medicine 1254510183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-080545OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Nov 8, 2023 Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics Current Accepting new patients
Children's Hospital Medical Center Pediatrics CurrentSince Nov 6, 2010 Accepting new patients
Complex Care Medical Services Corporation Pediatrics Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

2750 Beekman St
Cincinnati, OH 45225
Phone (513) 352-3192

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

1935 Medical District Dr
#908
Dallas, TX 75235

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

2350 N Stemmons Fwy
Ste F2400
Dallas, TX 75207
Phone (469) 488-7100

2350 N Stemmons Fwy
Ste F
Dallas, TX 75207

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

Interoperability endpoints

  • Direct secure messaging: jhutton616926@direct.childrens.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1073717948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 N STEMMONS FWY STE F2400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072700",
            "telephone_number": "469-488-7100",
            "fax_number": "469-488-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N STEMMONS FWY STE F2400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072700",
            "telephone_number": "469-488-7100",
            "fax_number": "469-488-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "JOHN",
        "middle_name": "STAFFORD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-080545",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U5004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.