Individual provider Active NPI

George William Kukurin, DC

  • Neurology Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1679503981
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
2746 Issued in PA
Practice address
2415 Sarah St
Pittsburgh, PA 15203-2228
Phone
(412) 381-4453
NPI assigned
Jul 3, 2006
Last updated
Nov 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 2746 PA Primary
Neurology Chiropractor 111NN0400X 7366 AZ

Addresses

Primary practice location

2415 Sarah St
Pittsburgh, PA 15203-2228

Mailing address

2415 Sarah St
Pittsburgh, PA 15203-2228
Phone (412) 381-4453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041112001023 AZ Practitioner - Chiropractic 8325002074 Practice locations: Avondale, AZ
I20120808000570 PA Practitioner - Chiropractic 8325002074 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
University of Pasadena College of Chiropractic, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12409 W Indian School Rd
Suite C304
Avondale, AZ 85392-9508
Phone (623) 547-4727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7366AZMDNeurology Chiropractor
2746PAMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Chiropractic Past Accepting new patients
Kukurin Chiropractic Neurology PastSince Jan 10, 2007 Accepting new patients
Kearny Chiropractic, LTD. PastSince May 1, 2006 Accepting new patients

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1679503981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 SARAH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032228",
            "telephone_number": "412-381-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SARAH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032228",
            "telephone_number": "412-381-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKURIN",
        "first_name": "GEORGE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "PA",
            "license": "2746",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "AZ",
            "license": "7366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.