DMYTRO KUBRAK
NPI 1891622999
Chiropractor in Tucson, AZ

Active since May 05, 2026
3020 N COUNTRY CLUB RD, TUCSON, AZ 85716(520) 322-6161 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dmytro Kubrak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DMYTRO KUBRAK (NPI 1891622999) is an individual chiropractor in Tucson, Arizona, licensed in Arizona (009431) and active in the NPI registry since May 2026. He is a graduate of Palmer College Chiropractic - Davenport (2024).

NPPES Registry Identity

NPI1891622999
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDMYTRO KUBRAK
Location Address3020 N COUNTRY CLUB RDTucson, AZ 85716-1603
Mailing Address1211 N Forgeus AveTucson, AZ 85716-3831
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2024
Enumeration DateMay 5, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1891622999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 009431
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3020 N COUNTRY CLUB RD, Tucson, AZ 85716

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dmytro Kubrak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789149352
PECOS Enrollment IDI20260723004310

Medicare Billing Reassignment

Medicare enrollment records show Dmytro Kubrak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
3939 NE HANCOCK ST
Portland, OR 97212
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3020 N COUNTRY CLUB RD
TUCSON, AZ 85716
Clinic/Center
3020 N COUNTRY CLUB RD
TUCSON, AZ 85716
Social Worker (Clinical)
3020 N COUNTRY CLUB RD
TUCSON, AZ 85716
Clinic/Center (Primary Care)
3020 N COUNTRY CLUB RD
TUCSON, AZ 85716
Social Worker
3020 N COUNTRY CLUB RD
TUCSON, AZ 85716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dmytro Kubrak's NPI number?

The NPI number for Dmytro Kubrak is 1891622999. It was assigned to this individual provider in the NPPES registry on May 5, 2026.

Where is Dmytro Kubrak located?

Dmytro Kubrak practices at 3020 N Country Club Rd, Tucson, AZ 85716. The listed phone number is (520) 322-6161.

What is Dmytro Kubrak's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Dmytro Kubrak enrolled in Medicare?

Yes. Dmytro Kubrak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dmytro Kubrak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dmytro Kubrak reassigns Medicare benefits to Inclusive Wellness And Chiropractic LLC (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dmytro Kubrak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dmytro Kubrak was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.