Individual provider Active NPI

Victor Anthony Kuchmaner, D.C.

  • Chiropractor
  • Austintown, OH
National Provider Identifier
1609804863
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4155 Issued in NC
Practice address
1570 S Canfield Niles Rd
Building a, Suite 103
Austintown, OH 44515-4077
Phone
(330) 793-4445
Fax
(330) 793-1990
NPI assigned
Jun 28, 2006
Last updated
May 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4155 NC Primary

Addresses

Primary practice location

1570 S Canfield Niles Rd
Building a, Suite 103
Austintown, OH 44515-4077

Mailing address

10922 S Tryon St
Ste B
Charlotte, NC 28273-4152
Phone (704) 588-3433

Other identifiers 1

IdentifierTypeStateIssuer
000000250416OtherOHANTHEM PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111025000797 NC Practitioner - Chiropractic 5698796209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10922 S Tryon St
Suite B
Charlotte, NC 28273-4152
Phone (704) 588-3433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4155NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley R Fowler DC LLC Chiropractor PastSince Jul 14, 2011 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1609804863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10922 S TRYON ST",
            "address_2": "STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734152",
            "telephone_number": "704-588-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 S CANFIELD NILES RD",
            "address_2": "BUILDING A, SUITE 103",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154077",
            "telephone_number": "330-793-4445",
            "fax_number": "330-793-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHMANER",
        "first_name": "VICTOR",
        "middle_name": "ANTHONY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000250416",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.