Individual provider Active NPI

Betty J Ciuchta, D.C.

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1720208127
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC14568 Issued in CA
Practice address
4101 E 4TH St
Long Beach, CA 90814-2847
Phone
(562) 434-7260
Fax
(562) 433-5058
NPI assigned
Apr 26, 2007
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC14568 CA Primary

Addresses

Primary practice location

4101 E 4TH St
Long Beach, CA 90814-2847

Mailing address

4101 E 4TH St
Long Beach, CA 90814-2847
Phone (562) 434-7260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4101 E 4TH St
Long Beach, CA 90814-2847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC14568CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1720208127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 E 4TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142847",
            "telephone_number": "562-434-7260",
            "fax_number": "562-433-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 E 4TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142847",
            "telephone_number": "562-434-7260",
            "fax_number": "562-433-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIUCHTA",
        "first_name": "BETTY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.