Active NPI
Jason A. Hutchison, D.C.
- Chiropractor
- Liberty, MO
National Provider Identifier
1730104845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DRC2006008609
- Practice address
- 1508 NE 96TH St
Suite B
Liberty, MO 64068-1348 - Phone
- (816) 407-7200
- Fax
- (816) 407-7222
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DRC2006008609 | MO | Primary |
Addresses
Primary practice location
1508 NE 96TH St
Suite B
Liberty, MO 64068-1348
Mailing address
1508 NE 96TH St
Suite B
Liberty, MO 64068-1348
Phone (816) 407-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2212957 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1512 NE 96TH St
Suite a
Liberty, MO 64068-7174
Phone (816) 407-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DRC2006008609 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Park Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
1508 NE 96th St
Ste B
Liberty, MO 64068
Phone (816) 407-7200
1512 NE 96th St
Ste A
Liberty, MO 64068
Phone (816) 407-7200
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.
-
- Chiropractor
- Liberty, MO
- NPI 1639344948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1730104845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 NE 96TH ST",
"address_2": "SUITE B",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681348",
"telephone_number": "816-407-7200",
"fax_number": "816-407-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 NE 96TH ST",
"address_2": "SUITE B",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681348",
"telephone_number": "816-407-7200",
"fax_number": "816-407-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHISON",
"first_name": "JASON",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "DRC2006008609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2212957",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.