Individual provider Active NPI

Kevin Dutton, D.C.

  • Chiropractor
  • Highland Park, IL
National Provider Identifier
1669474474
Registry record updated Oct 28, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(2) exclusion effective Oct 20, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010384 Issued in IL
Practice address
625 Roger Williams Ave
Highland Park, IL 60035-4840
Phone
(608) 345-6251
Fax
(630) 737-0310
NPI assigned
Aug 11, 2005
Last updated
Oct 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010384 IL Primary

Addresses

Primary practice location

625 Roger Williams Ave
Highland Park, IL 60035-4840

Mailing address

625 Roger Williams Ave
Highland Park, IL 60035-4840
Phone (608) 345-6251

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
038-010384ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
American Home Visiting Physicians Past Accepting new patients
Physicians Sports & Injury Center, Inc Past Accepting new patients
Ravinia Associates in Internal Medicine, LTD Past Accepting new patients
Fahey Medical Center S.C. Past Accepting new patients

Organizations & group practices 5

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1669474474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ROGER WILLIAMS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354840",
            "telephone_number": "608-345-6251",
            "fax_number": "630-737-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 ROGER WILLIAMS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354840",
            "telephone_number": "608-345-6251",
            "fax_number": "630-737-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.