Individual provider Active NPI

David R Kutschman, DC,CA

  • Chiropractor
  • Shrewsbury, NJ
National Provider Identifier
1922187525
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00194700 Issued in NJ
Practice address
494 Sycamore Avenue
Suite 205
Shrewsbury, NJ 07702-4218
Phone
(732) 747-5022
Fax
(732) 747-5822
NPI assigned
Nov 3, 2006
Last updated
Oct 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00194700 NJ Primary
Acupuncturist 171100000X 25MZ00022900 NJ
Acupuncturist 171100000X 001852-1 NY

Addresses

Primary practice location

494 Sycamore Avenue
Suite 205
Shrewsbury, NJ 07702-4218

Mailing address

494 Sycamore Avenue
Suite 205
Shrewsbury, NJ 07702-4218
Phone (732) 747-5022

Other identifiers 1

IdentifierTypeStateIssuer
3067106MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00194700NJMDChiropractor
25MZ00022900NJMDAcupuncturist
001852-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kutschman Chiropractic and Acupuncture Center Chiropractor PastSince Jan 1, 1990 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1922187525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 SYCAMORE AVENUE",
            "address_2": "SUITE 205",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024218",
            "telephone_number": "732-747-5022",
            "fax_number": "732-747-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 SYCAMORE AVENUE",
            "address_2": "SUITE 205",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024218",
            "telephone_number": "732-747-5022",
            "fax_number": "732-747-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTSCHMAN",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC,CA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00194700",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00022900",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001852-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3067106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.