Palm Beach Gardens DC & Ac, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PALM BEACH GARDENS DC & AC, PLLC

Practice address

11211 Prosperity Farms Rd Ste 204
Palm Beach Gardens, FL 33410-3467

Phone

(203) 470-2770

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ryan S Kish, DCNPI 1871672394

Title

Owner

Phone

(203) 470-2770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Seitz Kish, D.C.

  • Chiropractor
  • Palm Beach Gardens, FL
  • NPI 1871672394
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1003533878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 SANTALO COVE CT",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334735026",
            "telephone_number": "203-470-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD STE 204",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103467",
            "telephone_number": "203-470-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH GARDENS DC & AC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "KISH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-470-2770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Endodontics, P.a.
• Palm Beach Facial Plastic Surgery LLC
• Palm Beach Family Counseling, LLC
• Palm Beach Foot & Ankle Inc
• Palm Beach Gardens Community Hospital, Inc.
• Palm Beach Gardens Dental Associates
• Palm Beach Gardens Eye Doctor Inc
• Palm Beach Gardens Medical, LLC
• Palm Beach Gardens Ortho Location LLC
• Palm Beach Gardens Regional Surgery Center LLC

• Chiropractor in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.