Jonathan Kuzichev

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH-611164763 Issued in WA

Practice address

2118 N Ruby St Ste E
Spokane, WA 99207-5043

Phone

(509) 242-3458

NPI assigned

Feb 21, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lighthouse Chiropractic Center LLC

  • Chiropractor
  • Spokane, WA
  • NPI 1851157523
  NPD Authorized official

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1609632371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 N RUBY ST STE E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992075043",
            "telephone_number": "509-242-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 N RUBY ST STE E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992075043",
            "telephone_number": "509-242-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZICHEV",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH-611164763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Frazier Kurtulus, MA/CCC-SLP
• Jay Mikel Kurtz, LMP
• Eunice Kutsar
• Robert Alfred Kuwik, MD
• Nancee Anne Kuykendall
• Anna Kuznetsov, DNP, FNP-C
• Mikhail Kuznetsov
• Suzanna Kuznetz, RN
• Bev Kvamme, MS
• Matthew Francis Kvech, DO

• Chiropractor in Spokane, WA
• Providers in Spokane, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.