Individual provider Active NPI

Kurt Randall Schichtl, D.C.

  • Neurology Chiropractor
  • Emmaus, PA
National Provider Identifier
1831118546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC005021L Issued in PA
Practice address
1301 Chestnut St
Emmaus, PA 18049-1920
Phone
(610) 967-4996
Fax
(610) 967-0110
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X DC005021L PA Primary

Addresses

Primary practice location

1301 Chestnut St
Emmaus, PA 18049-1920

Mailing address

1301 Chestnut St
Emmaus, PA 18049-1920
Phone (610) 967-4996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000859 PA Practitioner - Chiropractic 1456390103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Chiropractic Neurology and RehabilitationGroup PAC ID 1951340694, 2 clinicians

Practice addresses (Care Compare)

1301 Chestnut St
Emmaus, PA 18049-1920
Phone (610) 967-4996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC005021LPAMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Chiropractic Neurology and Rehabilitation Neurology CurrentSince Jun 27, 2003 Accepting new patients

Locations

1301 Chestnut St
Emmaus, PA 18049
Phone (610) 967-4996

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831118546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180491920",
            "telephone_number": "610-967-4996",
            "fax_number": "610-967-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180491920",
            "telephone_number": "610-967-4996",
            "fax_number": "610-967-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHICHTL",
        "first_name": "KURT",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "PA",
            "license": "DC005021L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmaus, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.