Kenneth A Gosnell, CH

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2047 Issued in SC

Practice address

120 Strode Cir
Clemson, SC 29631-1484

Phone

(864) 624-9355

Fax

(864) 624-9356

NPI assigned

Oct 18, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advantage Chiropractic Wellness Center LLC

  • Chiropractor
  • Clemson, SC
  • NPI 1700143583
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1104815653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296331007",
            "telephone_number": "864-624-9355",
            "fax_number": "864-624-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STRODE CIR",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311484",
            "telephone_number": "864-624-9355",
            "fax_number": "864-624-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "CH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH130",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2047",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah E Gazaway
• Warren Douglas Gentry, M.D.
• Monica Hayes Gibson, PT
• Jamie Gladfelder, RPH
• Trenton Wesley Goff, PHARMD
• Greenville Health System (GHS Clemson-Seneca Ped - Clem)
• Ellery Gregory
• William Victor Griffith, MD
• Nicole Elena Grimm, L.P.C.
• Margaret Grisham, LPC/I

• Chiropractor in Clemson, SC
• Providers in Clemson, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.