Individual provider Active NPI

Kevin Michael Sutton, D.C.

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1104941228
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11827 Issued in FL
Practice address
5270 NW 34TH Blvd
Gainesville, FL 32605-1154
Phone
(352) 377-2255
Fax
(352) 377-5233
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008698 MI
Chiropractor 111N00000X CH11827 FL Primary

Addresses

Primary practice location

5270 NW 34TH Blvd
Gainesville, FL 32605-1154

Mailing address

5270 NW 34TH Blvd
Gainesville, FL 32605-1154
Phone (352) 377-2255

Other identifiers 1

IdentifierTypeStateIssuer
950G910190OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013002115 FL Practitioner - Chiropractic 6800797986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5270 NW 34TH Blvd
Gainesville, FL 32605-1154
Phone (352) 377-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH11827FLMDChiropractor
2301008698MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Barnhill Clinic, P.a. Chiropractor CurrentSince Aug 1, 2016 Accepting new patients

Locations

5270 NW 34th Blvd
Gainesville, FL 32605
Phone (352) 377-2255

Organizations & group practices 1

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1104941228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 NW 34TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051154",
            "telephone_number": "352-377-2255",
            "fax_number": "352-377-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 NW 34TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051154",
            "telephone_number": "352-377-2255",
            "fax_number": "352-377-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008698",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950G910190",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.