Organization Active NPI

Kuchmaner Chiropractic

  • Sports Physician Chiropractor
  • Austintown, OH
National Provider Identifier
1689853434
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1700 Issued in OH
Legal business name
KUCHMANER CHIROPRACTIC
Practice address
1570 S Canfield Niles Rd
Building a, Suite 103
Austintown, OH 44515-4077
Phone
(330) 793-4445
Fax
(330) 793-1990
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Dr. Victor A Kuchmaner, D.CNPI 1609804863
Title
Owner
Phone
(330) 793-4445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 1700 OH Primary

Addresses

Primary practice location

1570 S Canfield Niles Rd
Building a, Suite 103
Austintown, OH 44515-4077

Mailing address

1570 S Canfield Niles Rd
Building a, Suite 103
Austintown, OH 44515-4077
Phone (330) 793-4445

Other identifiers 2

IdentifierTypeStateIssuer
9331421OtherOHMEDICARE GROUP
0879009MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111025000747 NC Part B Supplier - Clinic/Group Practice 8527089135 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

10922 S Tryon St
Ste B
Charlotte, NC 28273
Phone (704) 588-3433

1570 S Canfield Niles Rd
Ste A103
Youngstown, OH 44515
Phone (330) 793-4445

Practitioners & affiliated clinicians

Practitioners 2

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": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1689853434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 S CANFIELD NILES RD",
            "address_2": "BUILDING A, SUITE 103",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154077",
            "telephone_number": "330-793-4445",
            "fax_number": "330-793-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 S CANFIELD NILES RD",
            "address_2": "BUILDING A, SUITE 103",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154077",
            "telephone_number": "330-793-4445",
            "fax_number": "330-793-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUCHMANER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "KUCHMANER",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-793-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "1700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9331421",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0879009",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.