Active NPI
Kevin L Muzzana, DC
- Chiropractor
- Springfield, OR
National Provider Identifier
1912045568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 713740
- Practice address
- 112 N 49TH St
Springfield, OR 97478-7648 - Phone
- (541) 726-6521
- Fax
- (541) 726-1615
- NPI assigned
- Feb 2, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 713740 | OR | Primary |
Addresses
Primary practice location
112 N 49TH St
Springfield, OR 97478-7648
Mailing address
112 N 49TH St
Springfield, OR 97478-7648
Phone (541) 726-6521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070813000170 | OR | Practitioner - Chiropractic | 5698866127 | Practice locations: Springfield, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
112 49TH St
Springfield, OR 97478-7648
Phone (541) 726-6521
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 713740 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1912045568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N 49TH ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974787648",
"telephone_number": "541-726-6521",
"fax_number": "541-726-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N 49TH ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974787648",
"telephone_number": "541-726-6521",
"fax_number": "541-726-1615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUZZANA",
"first_name": "KEVIN",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "713740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.