Individual provider Active NPI

Gary Norman Hulin, D. C.

  • Chiropractor
  • Lakeville, MN
National Provider Identifier
1972667715
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3285 Issued in MN
Practice address
18480 Kenyon Ave
Lakeville, MN 55044-6911
Phone
(952) 454-6668
NPI assigned
Dec 19, 2006
Last updated
Jun 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3285 MN Primary

Addresses

Primary practice location

18480 Kenyon Ave
Lakeville, MN 55044-6911

Mailing address

12400 210TH St W
Lakeville, MN 55044-7455
Phone (952) 469-8337

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1972667715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 210TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447455",
            "telephone_number": "952-469-8337",
            "fax_number": "952-833-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18480 KENYON AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446911",
            "telephone_number": "952-454-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULIN",
        "first_name": "GARY",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.