Individual provider Active NPI

Kevin Dean Hatfield, D.C.

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1316048309
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6804 Issued in MO
Practice address
3213 S Campbell Ave Ste E
Springfield, MO 65807-4912
Phone
(417) 886-9355
Fax
(417) 886-9366
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6804 MO Primary

Addresses

Primary practice location

3213 S Campbell Ave Ste E
Springfield, MO 65807-4912

Mailing address

3213 S Campbell Ave Ste E
Springfield, MO 65807-4912
Phone (417) 886-9355

Other identifiers 3

IdentifierTypeStateIssuer
469849OtherMOHEALTHLINK ID #
142992OtherMOBLUE CROSS/ BL SHILD ID #
664453OtherMOACN & UNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061229000112 MO Practitioner - Chiropractic 3971503764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3213 S Campbell Ave
Suite E
Springfield, MO 65807-4912
Phone (417) 886-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6804MOMDOrientation and Mobility Training Rehabilitation Counselor

Interoperability endpoints

  • Direct secure messaging: drkevinhatfield@healinghandschiropractic.myhcdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316048309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 S CAMPBELL AVE STE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074912",
            "telephone_number": "417-886-9355",
            "fax_number": "417-886-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 S CAMPBELL AVE STE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074912",
            "telephone_number": "417-886-9355",
            "fax_number": "417-886-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "KEVIN",
        "middle_name": "DEAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "6804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK ID #",
            "identifier": "469849",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BL SHILD ID #",
            "identifier": "142992",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN & UNITED HEALTHCARE",
            "identifier": "664453",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.