Individual provider Active NPI

Jill M Hutter, DC

  • Sports Physician Chiropractor
  • Denver, CO
National Provider Identifier
1124081179
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4453 Issued in CO
Practice address
3525 S Tamarac Dr
Suite 215
Denver, CO 80237-1419
Phone
(303) 779-4878
Fax
(303) 779-4894
NPI assigned
Apr 10, 2006
Last updated
Jan 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 4453 CO Primary

Addresses

Primary practice location

3525 S Tamarac Dr
Suite 215
Denver, CO 80237-1419

Mailing address

3525 S Tamarac Dr
Suite 215
Denver, CO 80237-1419
Phone (303) 779-4878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111222000042 CO Practitioner - Chiropractic 2769658780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

345 Zerex St
Suite 3
Fraser, CO 80442
Phone (970) 363-7156

345 Zerex St Unit
3 PB 1385
Fraser, CO 80442-1385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fraser Valley Chiropractic, Inc. CurrentSince Feb 23, 2011 Accepting new patients

Locations

345 N Zerex St
Unit 3
Fraser, CO 80442
Phone (970) 363-7156

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, 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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1124081179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 S TAMARAC DR",
            "address_2": "SUITE 215",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371419",
            "telephone_number": "303-779-4878",
            "fax_number": "303-779-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 S TAMARAC DR",
            "address_2": "SUITE 215",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371419",
            "telephone_number": "303-779-4878",
            "fax_number": "303-779-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTER",
        "first_name": "JILL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "4453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.