Active NPI
Edward J Kucharik, D.C.
- Chiropractor
- Seminole, FL
National Provider Identifier
1073567582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0003558
- Practice address
- 13035 Park Blvd
Seminole, FL 33776-3641 - Phone
- (727) 393-8700
- Fax
- (727) 393-8770
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0003558 | FL | Primary |
Addresses
Primary practice location
13035 Park Blvd
Seminole, FL 33776-3641
Mailing address
13035 Park Blvd
Seminole, FL 33776-3641
Phone (727) 393-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70720 | Other | FL | BLUE CROSS/ BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH0003558 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1073567582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13035 PARK BLVD",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337763641",
"telephone_number": "727-393-8700",
"fax_number": "727-393-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13035 PARK BLVD",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337763641",
"telephone_number": "727-393-8700",
"fax_number": "727-393-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCHARIK",
"first_name": "EDWARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0003558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "70720",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.