Active NPI
Kurt M. Gutknecht
- Radiology Chiropractor
- Levittown, PA
National Provider Identifier
1861585416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- D.C. 002928-L
- Practice address
- 75 Vermillion Dr
Levittown, PA 19054-1227 - Phone
- (215) 949-2292
- Fax
- (215) 945-5692
- NPI assigned
- Oct 2, 2006
- Last updated
- Apr 4, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | D.C. 002928-L | PA | Primary |
Addresses
Primary practice location
75 Vermillion Dr
Levittown, PA 19054-1227
Mailing address
75 Vermillion Dr
Levittown, PA 19054-1227
Phone (267) 261-1453
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D.C.-002928-L | Other | PA | STATE LICENSE |
| 0023216000 | Other | PA | BLUE CROSS/SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111107000516 | PA | Practitioner - Chiropractic | 9335321934 | Practice locations: Lehighton, PA; Levittown, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1609 Woodbourne Rd
Suite 201 B
Levittown, PA 19057-1533
Phone (267) 261-1453
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.C. 002928-L | PA | MD | Radiology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1861585416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 VERMILLION DR",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190541227",
"telephone_number": "267-261-1453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 VERMILLION DR",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190541227",
"telephone_number": "215-949-2292",
"fax_number": "215-945-5692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTKNECHT",
"first_name": "KURT",
"middle_name": "M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "PA",
"license": "D.C. 002928-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "D.C.-002928-L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/SHIELD",
"identifier": "0023216000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Levittown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.