NPIMap

Individual provider Active NPI

David Earl Hutchison, DC

  • Sports Physician Chiropractor
  • Corona, CA
National Provider Identifier
1154356269
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC21374 Issued in CA
Practice address
2205 Vesper Cir
Suite 101
Corona, CA 92879-3501
Phone
(951) 738-0660
Fax
(951) 738-0102
NPI assigned
Jul 11, 2006
Last updated
May 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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 DC21374 CA Primary

Addresses

Primary practice location

2205 Vesper Cir
Suite 101
Corona, CA 92879-3501

Mailing address

2205 Vesper Cir
Suite 101
Corona, CA 92879-3501
Phone (951) 738-0660

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stark Chiropractic, Inc. Past Accepting new patients
South Corona Chiropractic Center Inc PastSince Jan 1, 1990 Accepting new patients
Southcoronachiropracticcenter PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1154356269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 VESPER CIR",
            "address_2": "SUITE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793501",
            "telephone_number": "951-738-0660",
            "fax_number": "951-738-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 VESPER CIR",
            "address_2": "SUITE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793501",
            "telephone_number": "951-738-0660",
            "fax_number": "951-738-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "DAVID",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC21374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.