John Howard Kellenberger Sr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH2118 Issued in FL

Practice address

14090 Metropolis Ave
Suite 101
Fort Myers, FL 33912-4450

Phone

(239) 489-4100

Fax

(239) 489-1314

NPI assigned

Sep 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stevens Family Chiropractic P LGroup PAC ID 1658443403, 2 clinicians

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.

• Stevens Family Chiropractic P L

  • Chiropractor
  • Fort Myers, FL
  • NPI 1639339559
  Medicare reassignment Care Compare group NPD
• Non-Surgical Spine & Disc Care Ctr, Inc

  • Chiropractor
  • Fort Myers, FL
  • NPI 1558547927
  NPD (past) Authorized official

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1003065202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 CAVILLER CT",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339172985",
            "telephone_number": "239-656-0091",
            "fax_number": "239-489-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 METROPOLIS AVE",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124450",
            "telephone_number": "239-489-4100",
            "fax_number": "239-489-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLENBERGER",
        "first_name": "JOHN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alannah Danielle Keisling, LMHC
• Owen Wesley Kelchner II
• Christopher Alexander Kelesoglou, MD
• Joni Renee Kellams
• Kelleen M Linden PHD PA
• Katelyn Keller, DDS
• Nicole W. Keller, PA
• David G Kelley, D.MIN.
• Kenneth Charles Kelley, B.S.
• Linda Kelley, LMHC

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.