Active NPI
Kurt Michael Bryant, DC
- Chiropractor
- Placentia, CA
National Provider Identifier
1174793582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 30827
- Practice address
- 206 S Placentia Ave
Placentia, CA 92870-5710 - Phone
- (714) 572-9555
- Fax
- (714) 986-9600
- NPI assigned
- Mar 3, 2008
- 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 | 30827 | CA | Primary |
Addresses
Primary practice location
206 S Placentia Ave
Placentia, CA 92870-5710
Mailing address
206 S Placentia Ave
Placentia, CA 92870-5710
Phone (714) 572-9555
Other practice location 1
3220 S Brea Canyon Rd
Suite F
Diamond Bar, CA 91765-3481
Phone (909) 598-7868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
206 S Placentia Ave
Placentia, CA 92870-5710
Phone (714) 572-9555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Chiropractor
- Placentia, CA
- NPI 1326470428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1174793582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 S PLACENTIA AVE",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928705710",
"telephone_number": "714-572-9555",
"fax_number": "714-986-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S PLACENTIA AVE",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928705710",
"telephone_number": "714-572-9555",
"fax_number": "714-986-9600"
}
],
"practiceLocations": [
{
"address_1": "3220 S Brea Canyon Rd",
"address_2": "Suite F",
"address_purpose": "LOCATION",
"city": "Diamond Bar",
"state": "CA",
"postal_code": "917653481",
"country_code": "US",
"telephone_number": "909-598-7868",
"fax_number": "909-598-4428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYANT",
"first_name": "KURT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-03",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "30827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.