Individual provider Active NPI

Michael Christopher Kestner, DC

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1063155836
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13880 Issued in FL
Practice address
1102 W Indiantown Rd Ste 11
Jupiter, FL 33458-6813
Phone
(561) 741-1316
Fax
(561) 741-1375
NPI assigned
Apr 19, 2022
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13880 FL Primary

Addresses

Primary practice location

1102 W Indiantown Rd Ste 11
Jupiter, FL 33458-6813

Mailing address

12981 179TH CT N
Jupiter, FL 33478-4647
Phone (561) 267-4893

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505001370 FL Practitioner - Chiropractic 9638566912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carlstrom Family Chiropractic Center PAGroup PAC ID 9830251248, 3 clinicians

Practice addresses (Care Compare)

1102 W Indiantown Rd
Suite 11
Jupiter, FL 33458-6813
Phone (561) 741-1316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carlstrom Family Chiropractic Center PA Chiropractor CurrentSince Apr 1, 2022 Accepting new patients
Nielson Family Chiropractic PLLC Chiropractor CurrentSince Sep 1, 2022 Accepting new patients

Locations

1102 W Indiantown Rd
Ste 11
Jupiter, FL 33458
Phone (561) 741-1316

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1063155836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12981 179TH CT N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334784647",
            "telephone_number": "561-267-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W INDIANTOWN RD STE 11",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586813",
            "telephone_number": "561-741-1316",
            "fax_number": "561-741-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTNER",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.