Organization Active NPI

Kautz Chiropractic, LLC

  • Chiropractor
  • Le Claire, IA
National Provider Identifier
1386182137
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
085037 Issued in IA
Legal business name
KAUTZ CHIROPRACTIC, LLC
Practice address
126 1/2 S Cody Rd
Le Claire, IA 52753-9236
Phone
(563) 289-3242
Fax
(563) 289-4541
NPI assigned
Feb 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Courtney Kautz, D.C.NPI 1538605332
Title
Manager
Phone
(563) 349-7738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 085037 IA Primary

Addresses

Primary practice location

126 1/2 S Cody Rd
Le Claire, IA 52753-9236

Mailing address

PO Box 504
Le Claire, IA 52753-0504
Phone (563) 289-3242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170131000810 IA Part B Supplier - Clinic/Group Practice 4688956410 Receives reassigned benefits from 2 practitioners
Practice locations: Le Claire, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1386182137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504",
            "city": "LE CLAIRE",
            "state": "IA",
            "postal_code": "527530504",
            "telephone_number": "563-289-3242",
            "fax_number": "563-289-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 1/2 S CODY RD",
            "city": "LE CLAIRE",
            "state": "IA",
            "postal_code": "527539236",
            "telephone_number": "563-289-3242",
            "fax_number": "563-289-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUTZ CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "KAUTZ",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "563-349-7738",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "085037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Claire, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.