Kevin Michael Kustarz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10901 Issued in FL

Practice address

6743 W Indiantown Rd Ste 37
Jupiter, FL 33458-3987

Phone

(561) 401-0915

NPI assigned

Jun 20, 2013

Last updated

Apr 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• True Vine Chiropractic PA

  • Chiropractor
  • Jupiter, FL
  • NPI 1407380868
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1730528092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6743 W INDIANTOWN RD STE 37",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583987",
            "telephone_number": "561-401-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6743 W INDIANTOWN RD STE 37",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583987",
            "telephone_number": "561-401-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSTARZ",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin A Kupersmit, DO
• Kure Mobile Medical
• Christina Gonzalez Kurland, PT, DPT, CST-T
• Kurt O Bally DMD PA
• Casey Jean Kurz
• Elyce F Kwasman, CNP
• L.I.L.a.C. of Jupiter/Palm Beach, LLC
• Earl I La Kier, M.D.
• August John La Ruffa III, DC
• La Vie Est Belle Aesthetics and Wellness LLC

• Chiropractor in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.