Individual provider Active NPI

Stephen Phillip Kutscher, DC

  • Chiropractor
  • Falcon, CO
National Provider Identifier
1285964593
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6596 Issued in CO
Practice address
11605 Meridian Market VW Ste 142
Falcon, CO 80831-8238
Phone
(701) 830-0431
NPI assigned
Jan 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6596 CO Primary

Addresses

Primary practice location

11605 Meridian Market VW Ste 142
Falcon, CO 80831-8238

Mailing address

11605 Meridian Market VW Ste 142
Falcon, CO 80831-8238
Phone (701) 830-0431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110120000192 CO Practitioner - Chiropractic 0749469955
I20221111001652 ND Practitioner - Chiropractic 0749469955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Solid Chiropractic in JamestownGroup PAC ID 4284966425, 3 clinicians

Practice addresses (Care Compare)

1107 N University Dr
Suite 180
Jamestown, ND 58401-4922
Phone (701) 394-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6596COMDChiropractor
1155NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Solid Chiropractic in Jamestown Chiropractor CurrentSince Oct 6, 2022 Accepting new patients

Locations

1107 N University Dr
Ste 180
Jamestown, ND 58401
Phone (701) 660-3033

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": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1285964593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 MERIDIAN MARKET VW STE 142",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808318238",
            "telephone_number": "701-830-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 MERIDIAN MARKET VW STE 142",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808318238",
            "telephone_number": "701-830-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTSCHER",
        "first_name": "STEPHEN",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falcon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.