Individual provider Active NPI

Kevin Fluitt, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1871880252
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11700 Issued in TX
Practice address
3005 S Lamar Blvd Ste D-112
Austin, TX 78704-8864
Phone
(512) 441-1240
Fax
(512) 441-3762
NPI assigned
Jul 6, 2011
Last updated
Jul 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11700 TX Primary

Addresses

Primary practice location

3005 S Lamar Blvd Ste D-112
Austin, TX 78704-8864

Mailing address

3005 S Lamar Blvd Ste D-112
Austin, TX 78704-8864
Phone (512) 441-1240

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

State licenses

LicenseStateTypeSpecialty
11700TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1871880252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 S LAMAR BLVD STE D-112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048864",
            "telephone_number": "512-441-1240",
            "fax_number": "512-441-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 S LAMAR BLVD STE D-112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048864",
            "telephone_number": "512-441-1240",
            "fax_number": "512-441-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUITT",
        "first_name": "KEVIN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.