Individual provider Active NPI

Tracey Lee Curtis, DC

  • Chiropractor
  • Valparaiso, IN
National Provider Identifier
1346842978
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003188A Issued in IN
Practice address
2307 Laporte Ave Ste 10
Valparaiso, IN 46383-6997
Phone
(219) 510-5623
NPI assigned
Nov 9, 2020
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003188A IN Primary

Addresses

Primary practice location

2307 Laporte Ave Ste 10
Valparaiso, IN 46383-6997

Mailing address

2166 Crisman Rd
Portage, IN 46368-2102
Phone (314) 685-9992

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211231000058 IN Practitioner - Chiropractic 5092106013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003188AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kauffman Chiropractic Chiropractor CurrentSince Dec 14, 2021 Accepting new patients
Kauffman Chiropractic Chiropractor CurrentSince Dec 14, 2021 Accepting new patients

Locations

7620 E 109th Ave
Crown Point, IN 46307
Phone (219) 662-9588

Organizations & group practices 2

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1346842978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 CRISMAN RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463682102",
            "telephone_number": "314-685-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 LAPORTE AVE STE 10",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836997",
            "telephone_number": "219-510-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "TRACEY",
        "middle_name": "LEE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003188A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.