Individual provider Active NPI

Jason A. Hutchison, D.C.

  • Chiropractor
  • Liberty, MO
National Provider Identifier
1730104845
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DRC2006008609 Issued in MO
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

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2212957MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000462 MO Practitioner - Chiropractic 0941372585 Reassigns benefits to 1 organization

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
Liberty Park Chiropractic LLCGroup PAC ID 3274605811, 3 clinicians

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

LicenseStateTypeSpecialty
DRC2006008609MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Park Chiropractic, LLC Chiropractor CurrentSince May 1, 2008 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.

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.

Verify at the official NPI Registry.