Active NPI
Kucharik Chiropractic Clinic
- Chiropractor
- Seminole, FL
National Provider Identifier
1619906476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0003558
- 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, 2008
- 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. Edward J Kucharik, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.
-
- Chiropractor
- Seminole, FL
- NPI 1073567582
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.