Organization Active NPI

Kinetic Chiropractic and Wellness, P.a.

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1063644847
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9762 Issued in FL
Legal business name
KINETIC CHIROPRACTIC AND WELLNESS, P.A.
Practice address
185 NE 4TH Ave
Suite 101
Delray Beach, FL 33483-4590
Phone
(561) 455-4835
Fax
(561) 455-4836
NPI assigned
Aug 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Dr. Stephanie Marie Hath, D.C.
Title
President/Doctor
Phone
(612) 207-1322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9762 FL Primary

Addresses

Primary practice location

185 NE 4TH Ave
Suite 101
Delray Beach, FL 33483-4590

Mailing address

185 NE 4TH Ave
Suite 101
Delray Beach, FL 33483-4590
Phone (561) 455-4835

National Provider Directory

National Provider Directory

Locations

185 NE 4th Ave
Ste 101
Delray Beach, FL 33483
Phone (561) 278-7515

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1063644847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 NE 4TH AVE",
            "address_2": "SUITE 101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834590",
            "telephone_number": "561-455-4835",
            "fax_number": "561-455-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 NE 4TH AVE",
            "address_2": "SUITE 101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834590",
            "telephone_number": "561-455-4835",
            "fax_number": "561-455-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC CHIROPRACTIC AND WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "HATH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "612-207-1322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.