Individual provider Active NPI

Erick Kuczo

  • Chiropractor
  • Southbury, CT
National Provider Identifier
1699315259
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2157 Issued in CT
Practice address
220 Main St S Ste 205
Southbury, CT 06488-2275
Phone
(203) 586-5000
Fax
(203) 586-1555
NPI assigned
Jan 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2157 CT Primary

Addresses

Primary practice location

220 Main St S Ste 205
Southbury, CT 06488-2275

Mailing address

220 Main St S Ste 205
Southbury, CT 06488-2275
Phone (203) 586-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200312000937 CT Practitioner - Chiropractic 3173951829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Main St S
Suite 206
Southbury, CT 06488-2275
Phone (203) 586-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southbury Sports and Spine Chiropractic LLC Chiropractor CurrentSince Jan 1, 2024 Accepting new patients

Locations

220 Main St S
Ste 205
Southbury, CT 06488
Phone (203) 264-2200

220 Main St S
Ste 206
Southbury, CT 06488
Phone (203) 348-8200

220 Main St S
Southbury, CT 06488
Phone (203) 264-6624

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1699315259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MAIN ST S STE 205",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882275",
            "telephone_number": "203-586-5000",
            "fax_number": "203-586-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST S STE 205",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882275",
            "telephone_number": "203-586-5000",
            "fax_number": "203-586-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCZO",
        "first_name": "ERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2025; 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.