Individual provider Active NPI

Chadwick Richard Kurdas, RN

  • Registered Nurse
  • Mentor, OH
National Provider Identifier
1740537661
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9353169 Issued in FL
Practice address
9875 Hoose Rd
Mentor, OH 44060-7265
Phone
(440) 840-9749
NPI assigned
Aug 9, 2012
Last updated
Mar 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.375084 OH
Registered Nurse 163W00000X RN9353169 FL Primary

Addresses

Primary practice location

9875 Hoose Rd
Mentor, OH 44060-7265

Mailing address

4001 S Westshore Blvd Apt 312
Tampa, FL 33611-1015

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9353169FLMDRegistered Nurse
RN.375084OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1740537661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 S WESTSHORE BLVD APT 312",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9875 HOOSE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607265",
            "telephone_number": "440-840-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURDAS",
        "first_name": "CHADWICK",
        "middle_name": "RICHARD",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.375084",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9353169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.