Mark R Gutekunst, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001152 Issued in VA

Practice address

1245 Cedar Rd
C
Chesapeake, VA 23322-7141

Phone

(757) 549-1664

Fax

(757) 549-2445

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mark R Gutekunst PC

  • Chiropractor
  • Chesapeake, VA
  • NPI 1942579206
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1982630869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 CEDAR RD",
            "address_2": "C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227141",
            "telephone_number": "757-549-1664",
            "fax_number": "757-549-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CEDAR RD",
            "address_2": "C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227141",
            "telephone_number": "757-549-1664",
            "fax_number": "757-549-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTEKUNST",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1790973",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "44-00363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4657152",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "042725",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10384080",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard D. Guinand, D.O.
• Christopher Scott Guise, D.C.
• Lauren Gumpert
• Alexis Lynn Gurecki, PA-C
• Gustavo Y. Vargas, M.D., Inc
• Melvin Gutermuth, MD
• Kellie E Guth, MSED, ATC
• William Michael Guthrie, RPH
• Jerel D Gutierrez, DDS
• Joel Directo Gutierrez, PHARMD

• Chiropractor in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.