Active NPI
Deborah Ann Kuenzel, D.C.
- Chiropractor
- Douglas, MA
National Provider Identifier
1891827762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2247
- Practice address
- 271 Main St.
Douglas, MA 01516 - Phone
- (508) 476-7500
- Fax
- (508) 476-9875
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
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.
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
271 Main St
Douglas, MA 01516-2266
Phone (508) 476-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060509000759 | MA | Practitioner - Chiropractic | 5395756092 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2247 | MA | MD | Chiropractor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2247 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
271 Main St.
Douglas, MA 01516
Mailing address
PO Box 282
Douglas, MA 01516-0282
Phone (508) 476-7500
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 352215 | Other | MA | HARVARD PILGRIM |
| Y36931 | Other | MA | BCBS |
| Y39678 | Other | MA | BCBS |
| 461407 | Other | MA | TUFTS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891827762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 282",
"city": "DOUGLAS",
"state": "MA",
"postal_code": "015160282",
"telephone_number": "508-476-7500",
"fax_number": "508-476-9875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 MAIN ST.",
"city": "DOUGLAS",
"state": "MA",
"postal_code": "01516",
"telephone_number": "508-476-7500",
"fax_number": "508-476-9875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUENZEL",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "352215",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y36931",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y39678",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "461407",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, MA
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.