Organization Active NPI

Kacper Fiutek Professional Association

Doing business as Sunbear Chiropractic

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1871623272
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
823 Issued in NM
Legal business name
KACPER FIUTEK PROFESSIONAL ASSOCIATION
Doing business as
Sunbear Chiropractic
Practice address
3500 Comanche Rd NE
Suite I
Albuquerque, NM 87107-4546
Phone
(505) 884-0771
Fax
(505) 884-0776
NPI assigned
Mar 6, 2007
Last updated
Jan 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Authorized official

Name
Dr. Kacper Fiutek, DCNPI 1013074392
Title
President
Phone
(505) 884-0771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 823 NM Primary

Addresses

Primary practice location

3500 Comanche Rd NE
Suite I
Albuquerque, NM 87107-4546

Mailing address

3500 Comanche Rd NE Ste I
Albuquerque, NM 87107-4546
Phone (505) 884-0771

Other identifiers 1

IdentifierTypeStateIssuer
32413800OtherNMATTENDING PIN

Other names 1

  • Sunbear Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040506000851 NM Part B Supplier - Clinic/Group Practice 0244229250 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

3500 Comanche Rd NE
Albuquerque, NM 87107
Phone (505) 205-8941

3500 Comanche Rd NE
Ste I
Albuquerque, NM 87107
Phone (505) 379-7830

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1871623272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 COMANCHE RD NE STE I",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074546",
            "telephone_number": "505-884-0771",
            "fax_number": "505-884-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 COMANCHE RD NE",
            "address_2": "SUITE I",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074546",
            "telephone_number": "505-884-0771",
            "fax_number": "505-884-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KACPER FIUTEK PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "FIUTEK",
        "authorized_official_first_name": "KACPER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-884-0771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATTENDING PIN",
            "identifier": "32413800",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunbear Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.