Individual provider Active NPI

Gregory Paul Dutson, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1124104203
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10632 Issued in TX
Practice address
1006 Central Pkwy S
San Antonio, TX 78232-5021
Phone
(210) 490-9169
Fax
(210) 545-7740
NPI assigned
Oct 31, 2006
Last updated
Apr 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10632 TX Primary

Addresses

Primary practice location

1006 Central Pkwy S
San Antonio, TX 78232-5021

Mailing address

1006 Central Pkwy S
San Antonio, TX 78232-5021
Phone (210) 490-9169

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
10632TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
A2C2 LLC PastSince Aug 13, 2010 Accepting new patients

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1124104203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 CENTRAL PKWY S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325021",
            "telephone_number": "210-490-9169",
            "fax_number": "210-545-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 CENTRAL PKWY S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325021",
            "telephone_number": "210-490-9169",
            "fax_number": "210-545-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTSON",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.