Kevin William Paustian, D.O.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05303 Issued in IA

Practice address

902 5TH St
Durant, IA 52747

Phone

(563) 785-6511

Fax

(563) 785-6347

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Melissa Kelling PLLC

  • Chiropractor
  • Durant, IA
  • NPI 1013506302
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003915489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 5TH ST",
            "address_2": "PO BOX 715",
            "city": "DURANT",
            "state": "IA",
            "postal_code": "527470715",
            "telephone_number": "563-785-6511",
            "fax_number": "563-785-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 5TH ST",
            "city": "DURANT",
            "state": "IA",
            "postal_code": "52747",
            "telephone_number": "563-785-6511",
            "fax_number": "563-785-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUSTIAN",
        "first_name": "KEVIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "25943",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "231384",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Johnson, DO
• Brooke Lauren Lerma, LMT
• Lobo Inc
• Melissa Kelling PLLC
• Ora Orthopedics, PC
• Pugschiropractic PLLC
• Richard W. Grunder, DDS, Inc.
• Glenn Kenneth Sorgenfrey, D.C.
• Luke Whitlock

• Chiropractor in Durant, IA
• Providers in Durant, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.