Individual provider Active NPI

Sarah Grace Kucza, DC

  • Chiropractor
  • Minneola, FL
National Provider Identifier
1235701582
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13636 Issued in FL
Practice address
407 Old Highway 50 Unit a
Minneola, FL 34715-9026
Phone
(785) 423-3015
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13636 FL Primary

Addresses

Primary practice location

407 Old Highway 50 Unit a
Minneola, FL 34715-9026

Mailing address

361 Hillside Park St Apt 1700
Minneola, FL 34715-6173
Phone (785) 423-3015

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13636FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Compton Care CurrentSince Sep 5, 2021 Accepting new patients

Locations

11974 County Road 101
Ste 101
The Villages, FL 32162
Phone (352) 391-9467

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.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1235701582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HILLSIDE PARK ST APT 1700",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347156173",
            "telephone_number": "785-423-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 OLD HIGHWAY 50 UNIT A",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159026",
            "telephone_number": "785-423-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCZA",
        "first_name": "SARAH",
        "middle_name": "GRACE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.