Individual provider Active NPI

Matthew Alexander Kemna, D.C.

  • Chiropractor
  • North Olmsted, OH
National Provider Identifier
1033589759
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4537 Issued in OH
Practice address
24060 Lorain Rd
North Olmsted, OH 44070-2234
Phone
(440) 779-4226
NPI assigned
Oct 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4537 OH Primary

Addresses

Primary practice location

24060 Lorain Rd
North Olmsted, OH 44070-2234

Mailing address

3809 Crosswood Dr
Beavercreek, OH 45430-1672
Phone (937) 572-0210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160112000850 OH Practitioner - Chiropractic 8022310739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dreas Healthcare Services LLCGroup PAC ID 7517035652, 3 clinicians

Practice addresses (Care Compare)

24060 Lorain Rd
North Olmsted, OH 44070-2234

3084 Mayfield Rd
North Olmsted, OH 44070-2234
Phone (216) 675-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4537OHMDCounseling Psychologist

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": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1033589759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 CROSSWOOD DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301672",
            "telephone_number": "937-572-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24060 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702234",
            "telephone_number": "440-779-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMNA",
        "first_name": "MATTHEW",
        "middle_name": "ALEXANDER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.