Individual provider Active NPI

Hayden Nicholas Kutrieb, DC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1871330050
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003463A Issued in IN
Practice address
6020 Crawfordsville Rd Ste 102
Indianapolis, IN 46224-3710
Phone
(317) 957-2070
NPI assigned
Jul 13, 2024
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003463A IN Primary

Addresses

Primary practice location

6020 Crawfordsville Rd Ste 102
Indianapolis, IN 46224-3710

Mailing address

90 Executive Dr Ste E2
Carmel, IN 46032-2611
Phone (812) 887-4800

Other practice location 1

2855 N Keystone Ave Ste 100
Indianapolis, IN 46218-2790
Phone (317) 957-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731001406 IN Practitioner - Chiropractic 1456898105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Healthnet IncGroup PAC ID 7214840933, 77 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Healthnet Triage OB/GYN Services
Indianapolis, IN 46202-1239
Phone (317) 962-8909

2855 N Keystone Ave
Suite 120
Indianapolis, IN 46218-2790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003463AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Specialists of Indiana, LLC CurrentSince Jul 21, 2024 Accepting new patients
Healthnet, Inc. CurrentSince Aug 12, 2024 Accepting new patients

Locations

90 Executive Dr
Ste E2
Carmel, IN 46032
Phone (765) 828-1003

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

2855 N Keystone Ave
Indianapolis, IN 46218
Phone (317) 957-2300

2855 N Keystone Ave
Ste 100
Indianapolis, IN 46218
Phone (317) 920-5760

2855 N Keystone Ave
Ste 130
Indianapolis, IN 46218

3401 E Raymond St
#0
Indianapolis, IN 46203

3403 E Raymond St
Indianapolis, IN 46203
Phone (317) 957-2000

6020 Crawfordsville Rd
Ste 102
Speedway, IN 46224
Phone (317) 957-2070

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1871330050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 EXECUTIVE DR STE E2",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322611",
            "telephone_number": "812-887-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 CRAWFORDSVILLE RD STE 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462243710",
            "telephone_number": "317-957-2070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 N Keystone Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462182790",
            "country_code": "US",
            "telephone_number": "317-957-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTRIEB",
        "first_name": "HAYDEN",
        "middle_name": "NICHOLAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003463A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.