Individual provider Active NPI

Cody James Kurscheidt, DC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1033612494
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60810493 Issued in WA
Practice address
1825 SE 164TH Ave Ste 118
Vancouver, WA 98683-8602
Phone
(360) 524-7677
Fax
(360) 326-1668
NPI assigned
Mar 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60810493 WA Primary

Addresses

Primary practice location

1825 SE 164TH Ave Ste 118
Vancouver, WA 98683-8602

Mailing address

1825 SE 164TH Ave Ste 118
Vancouver, WA 98683-8602
Phone (360) 524-7677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519001881 WI Practitioner - Chiropractic 1850656455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calumet County Chiropractic LLCGroup PAC ID 6901347681, 3 clinicians

Practice addresses (Care Compare)

475 Tower View Rd
Chilton, WI 53014-1261
Phone (920) 418-9810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman, Martin & Martin LLC Chiropractor CurrentSince Mar 27, 2022 Accepting new patients
Calumet County Chiropractic, LLC Chiropractor PastSince May 1, 2023 Accepting new patients

Locations

1825 SE 164th Ave
Ste 118
Vancouver, WA 98683
Phone (360) 524-7677

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1033612494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SE 164TH AVE STE 118",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838602",
            "telephone_number": "360-524-7677",
            "fax_number": "360-326-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SE 164TH AVE STE 118",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838602",
            "telephone_number": "360-524-7677",
            "fax_number": "360-326-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURSCHEIDT",
        "first_name": "CODY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60810493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.