Active NPI
Sidney Joe Gutting, DC
- Chiropractor
- Murray, KY
National Provider Identifier
1689871105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3055
- Practice address
- 166 Mary Drive
Murray, KY 42071 - Phone
- (270) 474-8266
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3055 | KY | Primary |
Addresses
Primary practice location
166 Mary Drive
Murray, KY 42071
Mailing address
166 Mary Drive
Murray, KY 42071
Phone (270) 474-8266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MW02079P | Other | KY | BCBS |
| 0000001825100 | Other | KY | BCBS-PAPER |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689871105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 MARY DRIVE",
"city": "MURRAY",
"state": "KY",
"postal_code": "42071",
"telephone_number": "270-474-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 MARY DRIVE",
"city": "MURRAY",
"state": "KY",
"postal_code": "42071",
"telephone_number": "270-474-8266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTING",
"first_name": "SIDNEY",
"middle_name": "JOE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "3055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "MW02079P",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-PAPER",
"identifier": "0000001825100",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.