Individual provider Active NPI

Jacob Cain Hutchcraft, LMT

  • Chiropractor
  • Pea Ridge, AR
National Provider Identifier
1275261463
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8341 Issued in AR
Practice address
522 N Curtis Ave
Pea Ridge, AR 72751-3817
Phone
(479) 451-9200
Fax
(479) 451-9222
NPI assigned
Aug 15, 2022
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 8341 AR Primary

Addresses

Primary practice location

522 N Curtis Ave
Pea Ridge, AR 72751-3817

Mailing address

PO Box 47
Pea Ridge, AR 72751-0047
Phone (479) 451-9200

Other identifiers 1

IdentifierTypeStateIssuer
207863718MedicaidAR

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
8341ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hands-on Chiropractic Inc Chiropractor CurrentSince Aug 28, 2022 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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1275261463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727510047",
            "telephone_number": "479-451-9200",
            "fax_number": "479-451-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N CURTIS AVE",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727513817",
            "telephone_number": "479-451-9200",
            "fax_number": "479-451-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHCRAFT",
        "first_name": "JACOB",
        "middle_name": "CAIN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "8341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207863718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pea Ridge, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.