Individual provider Active NPI

Brett Kuca, D.C.

  • Chiropractor
  • Havre, MT
National Provider Identifier
1316429368
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5577 Issued in MT
Practice address
1903 5TH Ave
Havre, MT 59501-5211
Phone
(406) 400-2970
Fax
(406) 400-2658
NPI assigned
Sep 5, 2018
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1348 SD
Chiropractor 111N00000X 5577 MT Primary

Addresses

Primary practice location

1903 5TH Ave
Havre, MT 59501-5211

Mailing address

1903 5TH Ave
Havre, MT 59501-5211
Phone (406) 400-2970

Other practice location 1

830 E 41st St
Sioux Falls, SD 57105-6028
Phone (605) 338-5511

Other practice location 2

1465 US Highway 2 NW Ste D
Havre, MT 59501-3423
Phone (605) 491-1878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200221000318 MT Practitioner - Chiropractic 9335481423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Havre Chiropractic Clinic LLCGroup PAC ID 3375979362, 2 clinicians

Practice addresses (Care Compare)

1903 5TH Ave
Havre, MT 59501-5211
Phone (406) 400-2970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5577MTMDChiropractor
1348SDMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Havre Chiropractic Clinic, LLC Chiropractor CurrentSince Feb 3, 2020 Accepting new patients

Locations

1465 US Highway 2 NW
Ste D
Havre, MT 59501
Phone (406) 400-2970

1903 5th Ave
Havre, MT 59501
Phone (406) 400-2970

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1316429368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 5TH AVE",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015211",
            "telephone_number": "406-400-2970",
            "fax_number": "406-400-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 5TH AVE",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015211",
            "telephone_number": "406-400-2970",
            "fax_number": "406-400-2658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 E 41st St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571056028",
            "country_code": "US",
            "telephone_number": "605-338-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1465 US Highway 2 NW Ste D",
            "address_purpose": "LOCATION",
            "city": "Havre",
            "state": "MT",
            "postal_code": "595013423",
            "country_code": "US",
            "telephone_number": "605-491-1878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUCA",
        "first_name": "BRETT",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1348",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "5577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.