Active NPI
Kaurich Chiropractic, PC
- Chiropractor
- South Bend, IN
National Provider Identifier
1568645323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001607A
- Legal business name
- KAURICH CHIROPRACTIC, PC
- Practice address
- 21421 Cleveland Rd
South Bend, IN 46628-3507 - Phone
- (574) 282-2828
- Fax
- (574) 282-1802
- NPI assigned
- Dec 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin William Kaurich, D.C,
- Title
- Owner
- Phone
- (574) 282-2828
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001607A | IN | Primary |
Addresses
Primary practice location
21421 Cleveland Rd
South Bend, IN 46628-3507
Mailing address
21421 Cleveland Rd
South Bend, IN 46628-3507
Phone (574) 282-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200032070 | Medicaid | IN |
Other names 2
- Federal Injury Centers of South Bend
- Kaurich Chiropractic and Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21421 Cleveland Rd
South Bend, IN 46628
Phone (574) 282-2828
3511 Lincolnway W
South Bend, IN 46628
Phone (219) 282-2828
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- South Bend, IN
- NPI 1295768695
-
- Chiropractor
- Merrillville, IN
- NPI 1801819305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1568645323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21421 CLEVELAND RD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466283507",
"telephone_number": "574-282-2828",
"fax_number": "574-282-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21421 CLEVELAND RD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466283507",
"telephone_number": "574-282-2828",
"fax_number": "574-282-1802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAURICH CHIROPRACTIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-14",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A",
"authorized_official_last_name": "KAURICH",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "574-282-2828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C,"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IN",
"license": "08001607A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200032070",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Federal Injury Centers of South Bend",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kaurich Chiropractic and Wellness Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kaurich Chiropractic and Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.