Individual provider Active NPI

Kevin Michael Hudec, D.C.

  • Chiropractor
  • Alpharetta, GA
National Provider Identifier
1508925397
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005536 Issued in GA
Practice address
10595 Old Alabama Connector Rd
Suite9A
Alpharetta, GA 30022-8276
Phone
(770) 641-7811
Fax
(770) 641-0336
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR005536 GA Primary

Addresses

Primary practice location

10595 Old Alabama Connector Rd
Suite9A
Alpharetta, GA 30022-8276

Mailing address

10595 Old Alabama Connector Rd
Suite9A
Alpharetta, GA 30022-8276
Phone (770) 641-7811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000063 GA Practitioner - Chiropractic 1759334287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10595 Old Alabama Rd
Connector Suite 9a
Alpharetta, GA 30022
Phone (770) 641-7811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR005536GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hudec Chiropractic Center, Inc. Chiropractor CurrentSince Jan 10, 1997 Accepting new patients

Locations

10595 Old Alabama Road Connector
Ste 9A
Alpharetta, GA 30022
Phone (770) 641-7811

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1508925397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10595 OLD ALABAMA CONNECTOR RD",
            "address_2": "SUITE9A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228276",
            "telephone_number": "770-641-7811",
            "fax_number": "770-641-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10595 OLD ALABAMA CONNECTOR RD",
            "address_2": "SUITE9A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228276",
            "telephone_number": "770-641-7811",
            "fax_number": "770-641-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDEC",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.