Individual provider Active NPI

Paul M Hutchins, DC

  • Chiropractor
  • Red Hook, NY
National Provider Identifier
1487916847
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011239 Issued in NY
Practice address
17 Glen Pond Dr
Suite 4
Red Hook, NY 12571-1840
Phone
(845) 758-5507
Fax
(845) 758-5511
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011239 NY Primary

Addresses

Primary practice location

17 Glen Pond Dr
Suite 4
Red Hook, NY 12571-1840

Mailing address

17 Glen Pond Dr
Suite 4
Red Hook, NY 12571-1840
Phone (845) 758-5507

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

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1487916847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GLEN POND DR",
            "address_2": "SUITE 4",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711840",
            "telephone_number": "845-758-5507",
            "fax_number": "845-758-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GLEN POND DR",
            "address_2": "SUITE 4",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711840",
            "telephone_number": "845-758-5507",
            "fax_number": "845-758-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINS",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Hook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.