Individual provider Active NPI

Bradley Peter Kuntz, DC

  • Chiropractor
  • Savage, MN
National Provider Identifier
1841385697
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2837 Issued in MN
Practice address
14020 Highway 13 South
Suite 650
Savage, MN 55378-7106
Phone
(952) 447-8980
Fax
(952) 447-8941
NPI assigned
Oct 4, 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
Chiropractor 111N00000X 2837 MN Primary

Addresses

Primary practice location

14020 Highway 13 South
Suite 650
Savage, MN 55378-7106

Mailing address

14020 Highway 13 South
Suite 650
Savage, MN 55378-7106
Phone (952) 447-8980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101210001019 MN Practitioner - Chiropractic 6204972029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PLCC, LTDGroup PAC ID 4587700307, 2 clinicians

Practice addresses (Care Compare)

14020 Hwy 13 S
Suite 650
Savage, MN 55378-7106

14020 S Hwy 13
Suite 650
Savage, MN 55378-7106

7447 Egan Dr
Suite 120
Savage, MN 55378-2399
Phone (952) 447-8980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2837MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PLCC, LTD Chiropractor CurrentSince Sep 1, 1997 Accepting new patients

Locations

14020 Highway 13 S
Ste 650
Savage, MN 55378
Phone (952) 447-8980

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841385697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14020 HIGHWAY 13 SOUTH",
            "address_2": "SUITE 650",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553787106",
            "telephone_number": "952-447-8980",
            "fax_number": "952-447-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14020 HIGHWAY 13 SOUTH",
            "address_2": "SUITE 650",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553787106",
            "telephone_number": "952-447-8980",
            "fax_number": "952-447-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNTZ",
        "first_name": "BRADLEY",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

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.