Organization Active NPI

Havre Chiropractic Clinic, LLC

  • Chiropractor
  • Havre, MT
National Provider Identifier
1104462522
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HAVRE CHIROPRACTIC CLINIC, LLC
Practice address
1903 5TH Ave
Havre, MT 59501-5211
Phone
(406) 400-2970
Fax
(406) 400-2658
NPI assigned
Nov 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Dr. Brett Kuca, DCNPI 1316429368
Title
Chiropractor
Phone
(605) 491-1878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1903 5TH Ave
Havre, MT 59501-5211

Mailing address

1903 5TH Ave
Havre, MT 59501-5211
Phone (406) 400-2970

Other practice location 1

1465 US Highway 2 NW Ste D
Havre, MT 59501-3423
Phone (605) 491-1878

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL havrechiro@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200211002239 MT Part B Supplier - Clinic/Group Practice 3375979362 Receives reassigned benefits from 2 practitioners
Practice locations: Havre, MT

National Provider Directory

National Provider Directory

Locations

1465 US Highway 2 NW
Ste D
Havre, MT 59501
Phone (406) 400-2970

1903 5th Ave
Havre, MT 59501
Phone (406) 400-2970

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1104462522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 5TH AVE",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015211",
            "telephone_number": "406-400-2970",
            "fax_number": "406-400-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 5TH AVE",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015211",
            "telephone_number": "406-400-2970",
            "fax_number": "406-400-2658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 US Highway 2 NW Ste D",
            "address_purpose": "LOCATION",
            "city": "Havre",
            "state": "MT",
            "postal_code": "595013423",
            "country_code": "US",
            "telephone_number": "605-491-1878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAVRE CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "KUCA",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "605-491-1878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "havrechiro@gmail.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "address_1": "1903 5th Ave",
            "city": "Havre",
            "state": "MT",
            "country_code": "US",
            "postal_code": "595015211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.