Jason Allen Nutche, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009649 Issued in PA

Practice address

1608 Walnut St
Suite 601
Philadelphia, PA 19103-5457

Phone

(215) 546-1010

Fax

(215) 546-1005

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Locations

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.

• Nutche Chiropractic, Inc

  • Chiropractor
  • Philadelphia, PA
  • NPI 1568613883
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1346277175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 WALNUT ST",
            "address_2": "SUITE 601",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035457",
            "telephone_number": "215-546-1010",
            "fax_number": "215-546-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 WALNUT ST",
            "address_2": "SUITE 601",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035457",
            "telephone_number": "215-546-1010",
            "fax_number": "215-546-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTCHE",
        "first_name": "JASON",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "IL",
            "license": "038-010447",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "01132008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A. Nussbaum, MD
• Karen Nussbaum, PHYSICAL THERAPIST
• Rebekah Nussbaum, CRNP
• Amanda Nussdorf, M.D.
• Nutche Chiropractic, Inc
• Nutrition for Health, LLC
• Nutrition School LLC
• Nutritionsrx MNT Counseling LLC
• Nutritiously Yours
• Nutriwell LLC

• All providers in Philadelphia, PA
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.