Individual provider Active NPI

Dean William Hottum, DC

  • Chiropractor
  • New York, NY
National Provider Identifier
1336875293
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013630 Issued in NY
Practice address
7 W 36TH St Ste 402
New York, NY 10018-7911
Phone
(646) 478-8700
NPI assigned
Jul 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 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 013630 NY Primary

Addresses

Primary practice location

7 W 36TH St Ste 402
New York, NY 10018-7911

Mailing address

7 W 36TH St Ste 401
New York, NY 10018-7911
Phone (646) 478-8700

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
013630NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fuel Physical Therapy & Chiropractic PLLC Chiropractor CurrentSince Jul 1, 2022 Accepting new patients

Locations

7 W 36th St
Ste 401
New York, NY 10018
Phone (646) 478-8700

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": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1336875293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W 36TH ST STE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187911",
            "telephone_number": "646-478-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W 36TH ST STE 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187911",
            "telephone_number": "646-478-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTTUM",
        "first_name": "DEAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.