Individual provider Active NPI

Todd M Hostutler, D.C.

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1609980457
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4532 Issued in KY
Practice address
8707 Old Bardstown Rd
Louisville, KY 40291-4435
Phone
(502) 231-4003
Fax
(502) 384-0374
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4532 KY Primary
Chiropractor 111N00000X CH7686 FL

Addresses

Primary practice location

8707 Old Bardstown Rd
Louisville, KY 40291-4435

Mailing address

8707 Old Bardstown Rd
Louisville, KY 40291-4435
Phone (502) 231-4003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000247 KY Practitioner - Chiropractic 1658267265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Center IncGroup PAC ID 7618009879, 2 clinicians

Practice addresses (Care Compare)

8707 Old Bardstown Rd
Louisville, KY 40291-4435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7686FLMDChiropractor
4532KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Center Inc Chiropractor CurrentSince Apr 28, 2010 Accepting new patients

Locations

8707 Old Bardstown Rd
Louisville, KY 40291
Phone (502) 231-4003

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1609980457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 OLD BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914435",
            "telephone_number": "502-231-4003",
            "fax_number": "502-384-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 OLD BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914435",
            "telephone_number": "502-231-4003",
            "fax_number": "502-384-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTUTLER",
        "first_name": "TODD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4532",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.