Kevin Juhno Dickhaut, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5168 Issued in KY

Practice address

4110 Preston Hwy
Louisville, KY 40213-1653

Phone

(502) 409-6965

Fax

(502) 384-8362

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rivercity Chiropractic and Rehab

  • Chiropractor
  • Louisville, KY
  • NPI 1891141701
  Medicare reassignment NPD Authorized official
• Midwest Chiropractic & Rehabilitation Centre

  dba Waukee Wellness & Chiropractic

  • Chiropractor
  • Waukee, IA
  • NPI 1558316182
  NPD (past) Authorized official
• Waukee Wellness & Chiropractic, PC

  • Chiropractor
  • Waukee, IA
  • NPI 1225207939
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1346290541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402690205",
            "telephone_number": "502-409-6965",
            "fax_number": "502-384-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131653",
            "telephone_number": "502-409-6965",
            "fax_number": "502-384-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKHAUT",
        "first_name": "KEVIN",
        "middle_name": "JUHNO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486332",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Richard Dickerson III, MD STUDENT
• Jacob Dickerson
• Janae Dickerson
• Kevin Dickerson, APRN
• Crystal Dickey
• Ida Dickie
• Andrew Garrett Dickinson
• Denise Thompson Dickinson, M.D.
• Lindsay Ashbrook Dickinson
• Heather Dickman, LPCC

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.