Kurtz Chiropractic Office, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5042 Issued in MO

Legal business name

KURTZ CHIROPRACTIC OFFICE, LLC

Practice address

1804 N Ash St
Box 412
Nevada, MO 64772-1110

Phone

(417) 667-3456

Fax

(417) 667-4654

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary A Kurtz, DCNPI 1346287257

Title

Owner Manager

Phone

(417) 667-3456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary A. Kurtz, D.C.

  • Orthopedic Chiropractor
  • Nevada, MO
  • NPI 1346287257
  Medicare reassignment NPD Authorized official
• Daniel Scott Clodfelter, DC

  • Chiropractor
  • Independence, MO
  • NPI 1740306323
  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861612178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 N ASH ST",
            "address_2": "PO BOX 412",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721110",
            "telephone_number": "417-667-3456",
            "fax_number": "417-667-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 N ASH ST",
            "address_2": "BOX 412",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721110",
            "telephone_number": "417-667-3456",
            "fax_number": "417-667-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURTZ CHIROPRACTIC OFFICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "417-667-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "5042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffini Alexandra Knedgen, LPC
• William R. Koons, B.C. H.I.S.
• KRC 1495 Health Care Services LLC
• KRC 1505 Health Care Services LLC
• Renee Kurdi, MA
• Gary A. Kurtz, D.C.
• Chelsay Langford, FNP
• Sharon West Lansing, PH.D.
• Jordan Leininger
• Richard Leroux, BC-HIS

• Chiropractor in Nevada, MO
• Providers in Nevada, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.