Organization Active NPI

Hillcrest Chiropractic LLC

  • Chiropractor
  • Baldwin, WI
National Provider Identifier
1689809576
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2067-012 Issued in WI
Legal business name
HILLCREST CHIROPRACTIC LLC
Practice address
990 Hillcrest St
Suite 105
Baldwin, WI 54002-9248
Phone
(715) 684-2494
NPI assigned
May 20, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Grant Warren Hutchins, D.C.
Title
President
Phone
(715) 684-2494

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

990 Hillcrest St
Ste 105
Baldwin, WI 54002
Phone (715) 684-2494

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2067-012 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

990 Hillcrest St
Suite 105
Baldwin, WI 54002-9248

Mailing address

990 Hillcrest St
Suite 105
Baldwin, WI 54002-9248
Phone (715) 684-2494

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
38834300MedicaidWI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2009.

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1689809576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HILLCREST ST",
            "address_2": "SUITE 105",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540029248",
            "telephone_number": "715-684-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 HILLCREST ST",
            "address_2": "SUITE 105",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540029248",
            "telephone_number": "715-684-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "HUTCHINS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-684-2494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2067-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38834300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.