Organization Active NPI

Kucharik Chiropractic Clinic

  • Chiropractor
  • Seminole, FL
National Provider Identifier
1619906476
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0003558 Issued in FL
Legal business name
KUCHARIK CHIROPRACTIC CLINIC
Practice address
13035 Park Blvd
Seminole, FL 33776-3641
Phone
(727) 393-8700
Fax
(727) 393-8770
NPI assigned
Jul 2, 2006
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Edward J Kucharik, DCNPI 1073567582
Title
President
Phone
(727) 393-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0003558 FL Primary

Addresses

Primary practice location

13035 Park Blvd
Seminole, FL 33776-3641

Mailing address

13035 Park Blvd
Seminole, FL 33776-3641
Phone (727) 393-8700

National Provider Directory

National Provider Directory

Locations

13035 Park Blvd
Seminole, FL 33776
Phone (727) 393-8700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1619906476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13035 PARK BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337763641",
            "telephone_number": "727-393-8700",
            "fax_number": "727-393-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13035 PARK BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337763641",
            "telephone_number": "727-393-8700",
            "fax_number": "727-393-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUCHARIK CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "KUCHARIK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-393-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0003558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.