Individual provider Active NPI

Blair D Hunt, D.C.

  • Chiropractor
  • Peoria, IL
National Provider Identifier
1396751897
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 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

IdentifierTypeStateIssuer
1912088OtherILFIRST HEALTH NETWORK
7927178OtherILAETNA
6733216OtherILACN
7232127OtherILBLUE CROSS/ BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000315 IL Practitioner - Chiropractic 7315903416 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
038-009644ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Multicare, PC Chiropractor CurrentSince Jan 16, 2006 Accepting new patients
Neuromed Healthcare PLLC PastSince Sep 21, 2025 Accepting new patients
Schelly Chiropractic, Inc Chiropractor PastSince Jul 5, 2010 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.

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.

Verify at the official NPI Registry.