Individual provider Active NPI

Gregory A Kueny, D.C.

  • Chiropractor
  • Alta, IA
National Provider Identifier
1942270236
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
02206291 Issued in IA
Practice address
10 Lake St
Suite a
Alta, IA 51002-1244
Phone
(712) 200-3846
Fax
(712) 200-3847
NPI assigned
Jan 26, 2006
Last updated
Aug 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 02206291 IA Primary

Addresses

Primary practice location

10 Lake St
Suite a
Alta, IA 51002-1244

Mailing address

10 Lake St
Suite a
Alta, IA 51002-1244
Phone (712) 200-3846

Other identifiers 1

IdentifierTypeStateIssuer
2204057MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061219000235 IA Practitioner - Chiropractic 4486653557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Lake St
Suite a
Alta, IA 51002-1244
Phone (712) 200-3846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02206291IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kueny Chiropractic PC Chiropractor CurrentSince Oct 2, 2006 Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients
Pitts Family & Sports Chiropractic CTRS PC Chiropractor PastSince Feb 1, 2003 Accepting new patients

Locations

10 Lake St
Ste A
Alta, IA 51002
Phone (712) 200-3846

Organizations & group practices 3

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1942270236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LAKE ST",
            "address_2": "SUITE A",
            "city": "ALTA",
            "state": "IA",
            "postal_code": "510021244",
            "telephone_number": "712-200-3846",
            "fax_number": "712-200-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LAKE ST",
            "address_2": "SUITE A",
            "city": "ALTA",
            "state": "IA",
            "postal_code": "510021244",
            "telephone_number": "712-200-3846",
            "fax_number": "712-200-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUENY",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "02206291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2204057",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alta, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.