Individual provider Active NPI

Bobbie D Hutchison, DC

  • Chiropractor
  • Allen, TX
National Provider Identifier
1740412485
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11162 Issued in TX
Practice address
515 W Main St Ste 102
Allen, TX 75013-8021
Phone
(972) 908-3322
NPI assigned
Aug 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11162 TX Primary

Addresses

Primary practice location

515 W Main St Ste 102
Allen, TX 75013-8021

Mailing address

515 W Main St Ste 102
Allen, TX 75013-8021
Phone (972) 908-3322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100721000259 TX Practitioner - Chiropractic 8729110127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Natasha T Bonner DC PLLCGroup PAC ID 1153571310, 3 clinicians

Practice addresses (Care Compare)

515 W Main St
Allen, TX 75013-8021
Phone (972) 908-3322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11162TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Reddell Gruben DC PLLC Chiropractor CurrentSince Oct 21, 2021 Accepting new patients
Natasha T Bonner DC PLLC Chiropractor CurrentSince Oct 22, 2021 Accepting new patients
Southfork Chiropractic Chiropractor PastSince May 3, 2010 Accepting new patients

Locations

515 W Main St
Ste 102
Allen, TX 75013
Phone (972) 747-5077

Organizations & group practices 3

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": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1740412485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W MAIN ST STE 102",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138021",
            "telephone_number": "972-908-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAIN ST STE 102",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138021",
            "telephone_number": "972-908-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "BOBBIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.