Organization Active NPI

Kurtz Chiropractic Inc

  • Chiropractor
  • Wilson, NC
National Provider Identifier
1215029608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2046 Issued in NC
Legal business name
KURTZ CHIROPRACTIC INC
Practice address
3011 Raleigh Road Parkway West
Wilson, NC 27896
Phone
(252) 234-0000
Fax
(252) 291-3232
NPI assigned
Sep 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jennifer Owens Kurtz
Title
Office Manager
Phone
(252) 234-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2046 NC Primary

Addresses

Primary practice location

3011 Raleigh Road Parkway West
Wilson, NC 27896

Mailing address

3011 Raleigh Road Parkway West
Wilson, NC 27896
Phone (252) 234-0000

Other identifiers 2

IdentifierTypeStateIssuer
02667OtherNCBCBS
8902667MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051013000717 NC Part B Supplier - Clinic/Group Practice 8325063720 Receives reassigned benefits from 5 practitioners
Practice locations: Wilson, NC

National Provider Directory

National Provider Directory

Locations

3011 Raleigh Rd W
Wilson, NC 27896
Phone (252) 234-0000

3011 Raleigh Road Pkwy W
Wilson, NC 27896
Phone (252) 234-0000

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215029608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 RALEIGH ROAD PARKWAY WEST",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27896",
            "telephone_number": "252-234-0000",
            "fax_number": "252-291-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 RALEIGH ROAD PARKWAY WEST",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27896",
            "telephone_number": "252-234-0000",
            "fax_number": "252-291-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURTZ CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "OWENS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-234-0000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02667",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902667",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.