Kenneth Gerard Muller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104000597 Issued in VA

Practice address

5408 Discovery Park Blvd
Suite 200
Williamsburg, VA 23188-2893

Phone

(757) 220-8552

Fax

(757) 220-0162

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmercare Chiropractic Alpharetta LLC 2 clinicians

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.

• Palmercare Chiropractic Alpharetta LLC

  • Chiropractor
  • Alpharetta, GA
  • NPI 1528834322
  Medicare reassignment Care Compare group NPD
• Patrick Joseph Sallarulo, D.C.

  • Chiropractor
  • Atlanta, GA
  • NPI 1912990300

  GA

  Medicare reassignment
• Esprit Health Incorporated, LLC

  • Physical Medicine & Rehabilitation Physician
  • Williamsburg, VA
  • NPI 1891454260
  NPD
• Pinto Family Chiropractic, PLC

  • Chiropractor
  • Williamsburg, VA
  • NPI 1619995560
  NPD
• Gunderman Chiropractic & Wellness LLC

  • Chiropractor
  • Yorktown, VA
  • NPI 1033223433
  NPD (past)
• Kempsville Chiropractic

  • Chiropractor
  • Virginia Beach, VA
  • NPI 1245258102
  NPD (past)
• Mason Mill Chiropractic LLC

  • Chiropractor
  • Decatur, GA
  • NPI 1295445187
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1124030671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 DISCOVERY PARK BLVD",
            "address_2": "SUITE 200",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882893",
            "telephone_number": "757-220-8552",
            "fax_number": "757-220-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 DISCOVERY PARK BLVD",
            "address_2": "SUITE 200",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882893",
            "telephone_number": "757-220-8552",
            "fax_number": "757-220-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "KENNETH",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "54-1875990",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella Moutinho
• Nicole Amber Frohne Moyer, MED, EDS
• Bryce Mueller
• Daniel Michael Muench, MD
• Carmen M. Mulherin, PT, DPT
• Hannah Mullins
• Kaleigh Mullins
• Mundy Speech Therapy, PLLC
• Heather Ring Mundy, SLP
• Mian Zeeshan Munir, MD

• All providers in Williamsburg, VA
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.