Active NPI
Puja Wentworth Kazmierczak, DC
- Chiropractor
- Morrisville, NC
National Provider Identifier
1194823757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- NC3758
- Practice address
- 148 Morrisville Square Way
Morrisville, NC 27560-5703 - Phone
- (207) 680-0963
- Fax
- (919) 463-0431
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR1559 | ME | |
| Chiropractor | 111N00000X | NC3758 | NC | Primary |
Addresses
Primary practice location
148 Morrisville Square Way
Morrisville, NC 27560-5703
Mailing address
8300 Brass Mill LN Apt 107
Raleigh, NC 27617-8457
Phone (207) 680-0963
Other names 1
- Puja Allison Wentworth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CR1559 | ME | MD | Chiropractor |
| NC3758 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229385600000",
"number": "1194823757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 BRASS MILL LN APT 107",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276178457",
"telephone_number": "207-680-0963",
"fax_number": "919-463-0431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 MORRISVILLE SQUARE WAY",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275605703",
"telephone_number": "207-680-0963",
"fax_number": "919-463-0431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZMIERCZAK",
"first_name": "PUJA",
"middle_name": "WENTWORTH",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2008-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR1559",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "NC3758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PUJA",
"last_name": "WENTWORTH",
"middle_name": "ALLISON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Morrisville, NC
- Karis Healthcare Solution
- Kaushal Gandhi DDS PLLC (Mint Leaf Dentistry)
- Grace Morgan Kavanagh, LCMHC
- Hiroko Kawamura, MED, NCC, LPC
- Courtney Westbrook Kaylor, DNP, APRN, FNP-BC
- Kci USA, Inc. (Solventum Advanced Wound Care)
- Rebecca G Keller, LCSW
- Ryan Evan Kennedy, CPHT
- Rebecca Keppler, LCSW
- Becky Vann Kerr, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.