Individual provider Active NPI

Paul Kukes, D.C.

  • Chiropractor
  • Mt Pleasant, SC
National Provider Identifier
1982948832
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3769 Issued in SC
Practice address
2191 N Highway 17
Suite a
Mt Pleasant, SC 29466-6805
Phone
(919) 561-1575
NPI assigned
Nov 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3769 SC Primary

Addresses

Primary practice location

2191 N Highway 17
Suite a
Mt Pleasant, SC 29466-6805

Mailing address

2191 N Highway 17
Suite a
Mt Pleasant, SC 29466-6805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130122000224 SC Practitioner - Chiropractic 5294988465 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3769SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Health Solutions LLC Chiropractor CurrentSince Jan 3, 2013 Accepting new patients

Locations

1459 Stuart Engals Blvd
Unit 303
Mt Pleasant, SC 29464
Phone (843) 654-9330

2191 N Highway 17
#A
Mt Pleasant, SC 29466
Phone (843) 654-9330

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1982948832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 N HIGHWAY 17",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294666805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 N HIGHWAY 17",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294666805",
            "telephone_number": "919-561-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKES",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.