Organization Active NPI

Kuhn Chiropractic Center

  • Chiropractor
  • Wentzville, MO
National Provider Identifier
1639392111
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CE005658 Issued in MO
Legal business name
KUHN CHIROPRACTIC CENTER
Practice address
120 W Pearce Blvd
Wentzville, MO 63385-1418
Phone
(636) 327-4752
Fax
(636) 327-5902
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kim M Bertel
Title
Office Manager
Phone
(636) 327-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CE005658 MO Primary

Addresses

Primary practice location

120 W Pearce Blvd
Wentzville, MO 63385-1418

Mailing address

120 W Pearce Blvd
Wentzville, MO 63385-1418
Phone (636) 327-4752

Other identifiers 3

IdentifierTypeStateIssuer
9300OtherMOBLUE CROSS PROVIDER ID
1144251737OtherMOINDIVIDUAL NPI
CE005658OtherMOLICENSE

Other names 1

  • M. KATHLEEN KUHN D.C. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080910000434 MO Part B Supplier - Clinic/Group Practice 1759457021 Receives reassigned benefits from 2 practitioners
Practice locations: Wentzville, MO

National Provider Directory

National Provider Directory

Locations

120 W Pearce Blvd
Wentzville, MO 63385
Phone (636) 327-4752

602 E Pearce Blvd
Wentzville, MO 63385
Phone (636) 327-4752

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639392111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W PEARCE BLVD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851418",
            "telephone_number": "636-327-4752",
            "fax_number": "636-327-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W PEARCE BLVD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851418",
            "telephone_number": "636-327-4752",
            "fax_number": "636-327-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUHN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERTEL",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-327-4752"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE005658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "9300",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1144251737",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CE005658",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M. KATHLEEN KUHN D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.