Active NPI
Blair D Hunt, D.C.
- Chiropractor
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 4410 N Knoxville Ave
Suite D
Peoria, IL 61614-6086 - Phone
- (309) 282-6419
- Fax
- (309) 282-6003
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
4410 N Knoxville Ave
Suite D
Peoria, IL 61614-6086
Mailing address
4410 N Knoxville Ave
Suite D
Peoria, IL 61614-6086
Phone (309) 282-6419
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912088 | Other | IL | FIRST HEALTH NETWORK |
| 7927178 | Other | IL | AETNA |
| 6733216 | Other | IL | ACN |
| 7232127 | Other | IL | BLUE CROSS/ BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4238 N Knoxville Ave
Peoria, IL 61614-7435
Phone (309) 282-6419
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009644 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Multicare, PC | Chiropractor | Current | Accepting new patients |
| Neuromed Healthcare PLLC | Past | Accepting new patients | |
| Schelly Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
| Lutz Physical Medicine Corp | Chiropractor | Past | Accepting new patients |
Locations
4238 N Knoxville Ave
Peoria, IL 61614
Phone (309) 282-6419
4410 N Knoxville Ave
Ste D
Peoria, IL 61614
Phone (309) 282-6419
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396751897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 N KNOXVILLE AVE",
"address_2": "SUITE D",
"city": "PEORIA",
"state": "IL",
"postal_code": "616146086",
"telephone_number": "309-282-6419",
"fax_number": "309-282-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 N KNOXVILLE AVE",
"address_2": "SUITE D",
"city": "PEORIA",
"state": "IL",
"postal_code": "616146086",
"telephone_number": "309-282-6419",
"fax_number": "309-282-6003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "BLAIR",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH NETWORK",
"identifier": "1912088",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7927178",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "6733216",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "7232127",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.