Individual provider Active NPI

Kevin David Suntken, D.C.

  • Chiropractor
  • Altoona, IA
National Provider Identifier
1144771858
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
084443 Issued in IA
Practice address
140 8TH St SE
Altoona, IA 50009-1950
Phone
(515) 957-9700
Fax
(515) 957-9513
NPI assigned
Oct 18, 2016
Last updated
Nov 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 084443 IA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

140 8TH St SE
Altoona, IA 50009-1950

Mailing address

140 8TH St SE
Altoona, IA 50009-1950
Phone (515) 957-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161202002117 IA Practitioner - Chiropractic 7911286505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 8TH St SE
Altoona, IA 50009-1950
Phone (515) 957-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suntken Family Chiropractic LLC Chiropractor CurrentSince Nov 1, 2016 Accepting new patients

Locations

140 8th St SE
Altoona, IA 50009
Phone (515) 957-8000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1144771858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 8TH ST SE",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091950",
            "telephone_number": "515-957-9700",
            "fax_number": "515-957-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 8TH ST SE",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091950",
            "telephone_number": "515-957-9700",
            "fax_number": "515-957-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNTKEN",
        "first_name": "KEVIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "084443",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.