Active NPI
James Theodore Kurtz, D.C.
- Chiropractor
- Federal Way, WA
National Provider Identifier
1477576213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002607
- Practice address
- 33400 13TH PL S
Federal Way, WA 98003-6357 - Phone
- (253) 838-6070
- Fax
- (253) 838-6069
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002607 | WA | Primary |
Addresses
Primary practice location
33400 13TH PL S
Federal Way, WA 98003-6357
Mailing address
33400 13TH PL S
Federal Way, WA 98003-6357
Phone (253) 838-6070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KU7041 | Other | WA | REGENCE |
| 111632 | Other | WA | DEPT OF L & I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00002607 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NW Sports Rehab, Corp. | Chiropractor | Current | Accepting new patients |
Locations
33400 13th Pl S
Federal Way, WA 98003
Phone (253) 838-6070
4809 Wa Tau Ga Ave NE
Tacoma, WA 98422
Phone (253) 925-0806
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": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477576213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33400 13TH PL S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036357",
"telephone_number": "253-838-6070",
"fax_number": "253-838-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33400 13TH PL S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036357",
"telephone_number": "253-838-6070",
"fax_number": "253-838-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "JAMES",
"middle_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002607",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "KU7041",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L & I",
"identifier": "111632",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.