Individual provider Active NPI

Stephen L Kulik, DC

  • Chiropractor
  • Allentown, PA
National Provider Identifier
1124132055
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001414L Issued in PA
Practice address
1850 E Emmaus Avenue
Allentown, PA 18103-4422
Phone
(610) 791-1020
Fax
(610) 791-9691
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC001414L PA Primary

Addresses

Primary practice location

1850 E Emmaus Avenue
Allentown, PA 18103-4422

Mailing address

1850 E Emmaus Avenue
Allentown, PA 18103-4422
Phone (610) 791-1020

Other identifiers 3

IdentifierTypeStateIssuer
02562200OtherCAPITAL BLUE CROSS
0006361960001MedicaidPA
AL1327482OtherHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000156 PA Practitioner - ChiropracticPractitioner - Diagnostic Radiology 1355342098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Diagnostic Radiology
Education
Palmer College Chiropractic - Davenport, 1972
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1850 E Emmaus Ave
Allentown, PA 18103-4422
Phone (610) 791-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allentown Chiropractic Center PC Chiropractor CurrentSince Jun 1, 2001 Accepting new patients

Locations

1850 E Emmaus Ave
Allentown, PA 18103
Phone (610) 791-0120

Organizations & group practices 1

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1124132055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E EMMAUS AVENUE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181034422",
            "telephone_number": "610-791-1020",
            "fax_number": "610-791-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E EMMAUS AVENUE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181034422",
            "telephone_number": "610-791-1020",
            "fax_number": "610-791-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIK",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001414L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02562200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006361960001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "AL1327482",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.