Active NPI
Hillcrest Chiropractic LLC
- Chiropractor
- Baldwin, WI
National Provider Identifier
1689809576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2067-012
- 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.
-
- Chiropractor
- Woodville, WI
- NPI 1528141314
-
- Chiropractor
- Glenwood City, WI
- NPI 1023859857
-
- Chiropractor
- Glenwood City, WI
- NPI 1568855799
National Provider Directory
National Provider DirectoryLocations
990 Hillcrest St
Ste 105
Baldwin, WI 54002
Phone (715) 684-2494
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2067-012 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38834300 | Medicaid | WI |
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.