Individual provider Active NPI

Richard W Puchta, D.C.

  • Chiropractor
  • Kalispell, MT
National Provider Identifier
1477760155
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
841 Issued in MT
Practice address
690 N Meridian Rd
Suite 105
Kalispell, MT 59901-3586
Phone
(406) 752-7289
Fax
(406) 752-8679
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 841 MT Primary

Addresses

Primary practice location

690 N Meridian Rd
Suite 105
Kalispell, MT 59901-3586

Mailing address

690 N Meridian Rd
Suite 105
Kalispell, MT 59901-3586
Phone (406) 752-7289

Other identifiers 4

IdentifierTypeStateIssuer
000041441OtherMTBLUECROSS BLUESHIELD
0056420MedicaidMT
0056251MedicaidMT
04-01483-3OtherMTWORKERS COMPENSATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070718000316 MT Practitioner - Chiropractic 3072614288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

80 Four Mile Dr
Suite 14a
Kalispell, MT 59901-2665
Phone (406) 752-7289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
841MTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Chiropractic, PC Chiropractor CurrentSince May 11, 2007 Accepting new patients

Locations

80 Four Mile Dr
Ste 14A
Kalispell, MT 59901
Phone (406) 752-0330

690 N Meridian Rd
Ste 105
Kalispell, MT 59901
Phone (406) 752-7289

690 N Meridian Rd
Ste 214
Kalispell, MT 59901
Phone (406) 752-7289

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1477760155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 N MERIDIAN RD",
            "address_2": "SUITE 105",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013586",
            "telephone_number": "406-752-7289",
            "fax_number": "406-752-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N MERIDIAN RD",
            "address_2": "SUITE 105",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013586",
            "telephone_number": "406-752-7289",
            "fax_number": "406-752-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCHTA",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "000041441",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056420",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056251",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "04-01483-3",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.