Individual provider Active NPI

Kolton Hawkins

  • Chiropractor
  • Peru, IN
National Provider Identifier
1215687660
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003288A Issued in IN
Practice address
252 E Main St
Peru, IN 46970-2414
Phone
(765) 201-0052
NPI assigned
Mar 28, 2022
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003288A IN Primary

Addresses

Primary practice location

252 E Main St
Peru, IN 46970-2414

Mailing address

252 E Main St
Peru, IN 46970-2414
Phone (765) 202-0053

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Khawkins@hfcperu.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08003288AINMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1215687660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 E MAIN ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469702414",
            "telephone_number": "765-202-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 E MAIN ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469702414",
            "telephone_number": "765-201-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "KOLTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003288A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Khawkins@hfcperu.com",
            "affiliation": "N",
            "endpointDescription": "Google workspace",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "252 E Main St",
            "city": "Peru",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469702414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peru, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.