Individual provider Active NPI

Keith Patrick Gutzmann, DC

  • Chiropractor
  • Howard Beach, NY
National Provider Identifier
1962676478
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007016-1 Issued in NY
Practice address
16201 96TH St
Howard Beach, NY 11414-4029
Phone
(718) 848-4200
Fax
(718) 848-4049
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007016-1 NY Primary

Addresses

Primary practice location

16201 96TH St
Howard Beach, NY 11414-4029

Mailing address

16201 96TH St
Howard Beach, NY 11414-4029
Phone (718) 848-4200

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
007016NYMDMental Health Counselor
007016-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Gutzmann & Keith Gutzmann D.C.P.C. Chiropractor PastSince Jul 6, 2005 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1962676478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16201 96TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114144029",
            "telephone_number": "718-848-4200",
            "fax_number": "718-848-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 96TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114144029",
            "telephone_number": "718-848-4200",
            "fax_number": "718-848-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTZMANN",
        "first_name": "KEITH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "007016-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.