Jason N Kucma, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3369 Issued in NC

Practice address

4023 Village Park Dr
Knightdale, NC 27545-7044

Phone

(919) 261-9444

Fax

(919) 261-9470

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Camelot Chiropractic Centre, Inc.

  • Chiropractor
  • Knightdale, NC
  • NPI 1245391366
  Medicare reassignment Authorized official
• Applewood Chiropractic Clinic PC

  • Chiropractor
  • Omaha, NE
  • NPI 1861401275
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1205831989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 VILLAGE PARK DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457044",
            "telephone_number": "919-261-9444",
            "fax_number": "919-261-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 VILLAGE PARK DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457044",
            "telephone_number": "919-261-9444",
            "fax_number": "919-261-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCMA",
        "first_name": "JASON",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "085V8",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2458096",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Knightdale Eyecare Optometric, P.a.
• Knightdale Family Practice
• Christine Anne Kornegay, DPT
• Kristy Thomas
• Caroline Kruse
• Lisa K Kucma, D.C.
• Odeta Kulenica
• Brianna Kurilla, LCMHC
• Laing Dermatology & Skin Cancer Center PA
• Valerie B Laing, MD

• Chiropractor in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.