Active NPI
Doris Marie Kutz-Compton, D.C.
- Chiropractor
- New Haven, MO
National Provider Identifier
1740363720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006626
- Practice address
- 105 Franklin Ave
New Haven, MO 63068-1426 - Phone
- (573) 237-7800
- NPI assigned
- Oct 23, 2006
- Last updated
- Oct 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006626 | MO | Primary |
Addresses
Primary practice location
105 Franklin Ave
New Haven, MO 63068-1426
Mailing address
105 Franklin Ave
New Haven, MO 63068-1426
Phone (573) 237-7800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 384104 | Other | MO | HEALTHLINK |
| 118500 | Other | MO | BLUE CROSS BLUE SHIELD |
| 4401300 | Other | MO | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006626 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashley Boehle DC LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- New Haven, MO
- NPI 1083968283
-
- Chiropractor
- New Haven, MO
- NPI 1528451325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1740363720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 FRANKLIN AVE",
"city": "NEW HAVEN",
"state": "MO",
"postal_code": "630681426",
"telephone_number": "573-237-7800",
"fax_number": "573-237-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 FRANKLIN AVE",
"city": "NEW HAVEN",
"state": "MO",
"postal_code": "630681426",
"telephone_number": "573-237-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTZ-COMPTON",
"first_name": "DORIS",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "006626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "384104",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "118500",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4401300",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.