Kucharik Chiropractic Clinic

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050575700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70720",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Kozak, P.T.
• Mary Ellen Kramp, DPT
• Kelly C Kreutz, LICSW
• Jessica Kroll, D.M.D
• Raymond Kruse
• Edward J Kucharik, D.C.
• Jennifer L'Eon
• L&C Wellness Center LLC
• Charles H Lacoste, DC
• Lake Balaton, Inc.

• Chiropractor in Seminole, FL
• Providers in Seminole, FL by specialty
• Chiropractor in Florida

• 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.