Active NPI
Brian Kurth, DC
- Chiropractor
- Glendale, WI
National Provider Identifier
1154414829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3128
- Practice address
- 6310 N Port Washington Rd
Glendale, WI 53217-4300 - Phone
- (414) 962-1144
- Fax
- (414) 962-3391
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 3128 | WI | Primary |
Addresses
Primary practice location
6310 N Port Washington Rd
Glendale, WI 53217-4300
Mailing address
6310 N Port Washington Rd
Glendale, WI 53217-4300
Phone (414) 962-1144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38955200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
320 W Brown Deer Rd
Bayside, WI 53217-2319
Phone (414) 434-0268
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kurth Chiropractic S.C. | Chiropractor | Current | Accepting new patients |
| Kurth Chiropractic, SC | Chiropractor | Past | Accepting new patients |
Locations
6310 N Port Washington Rd
Glendale, WI 53217
Phone (414) 961-1600
320 W Brown Deer Rd
Milwaukee, WI 53217
Phone (414) 247-0128
Organizations & group practices 2
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.
-
- Chiropractor
- Bayside, WI
- NPI 1487881231
-
- Chiropractor
- Glendale, WI
- NPI 1740373430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154414829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 N PORT WASHINGTON RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532174300",
"telephone_number": "414-962-1144",
"fax_number": "414-962-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 N PORT WASHINGTON RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532174300",
"telephone_number": "414-962-1144",
"fax_number": "414-962-3391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTH",
"first_name": "BRIAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38955200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.