Edward J Kucharik, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0003558 Issued in FL

Practice address

13035 Park Blvd
Seminole, FL 33776-3641

Phone

(727) 393-8700

Fax

(727) 393-8770

NPI assigned

May 20, 2006

Last updated

Feb 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kucharik Chiropractic Clinic

  • Chiropractor
  • Seminole, FL
  • NPI 1619906476
  Authorized official Same address or phone

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": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Kramp, DPT
• Kelly C Kreutz, LICSW
• Jessica Kroll, D.M.D
• Raymond Kruse
• Kucharik Chiropractic Clinic
• Jennifer L'Eon
• L&C Wellness Center LLC (Jackson Chiropractic & Wellness Center)
• Charles H Lacoste, DC
• Lake Balaton, Inc. (The Villas of Casa Celeste)
• Lake Seminole Square Management Company, LLC (Lake Seminole Square)

• Chiropractor in Seminole, FL
• Providers in Seminole, FL by specialty
• Chiropractor in Florida

• 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.

Verify at the official NPI Registry.