Organization Active NPI

KGBN Inc

Doing business as Fields Ertel Chiropractic

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1144314121
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2421 Issued in OH
Legal business name
KGBN INC
Doing business as
Fields Ertel Chiropractic
Practice address
8673 Fields Ertel Rd
Cincinnati, OH 45249-8269
Phone
(513) 469-6688
Fax
(513) 469-6686
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Dr. Greg D Schwartzenberger, D.CNPI 1417971219
Title
Owner
Phone
(513) 469-6688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2421 OH Primary

Addresses

Primary practice location

8673 Fields Ertel Rd
Cincinnati, OH 45249-8269

Mailing address

8673 Fields Ertel Rd
Cincinnati, OH 45249-8269
Phone (513) 469-6688

Other identifiers 1

IdentifierTypeStateIssuer
2043845MedicaidOH

Other names 1

  • Fields Ertel Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100127000086 OH Part B Supplier - Clinic/Group Practice 4183766371 Receives reassigned benefits from 1 practitioner
Practice locations: Mason, OH

National Provider Directory

National Provider Directory

Locations

8673 Fields Ertel Rd
Cincinnati, OH 45249
Phone (513) 469-6688

830 S Erie Hwy
Hamilton, OH 45011
Phone (513) 469-6688

7550 Central Parke Blvd
Mason, OH 45040
Phone (513) 336-6133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1144314121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8673 FIELDS ERTEL RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452498269",
            "telephone_number": "513-469-6688",
            "fax_number": "513-469-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8673 FIELDS ERTEL RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452498269",
            "telephone_number": "513-469-6688",
            "fax_number": "513-469-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KGBN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZENBERGER",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-469-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043845",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fields Ertel Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.