Organization Active NPI

Kemp Chiropractic, P.a.

  • Neurology Chiropractor
  • Jacksonville, FL
National Provider Identifier
1164573754
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH00007780 Issued in FL
Legal business name
KEMP CHIROPRACTIC, P.A.
Practice address
4169 University Blvd S
Jacksonville, FL 32216-4316
Phone
(904) 737-2350
Fax
(904) 737-7111
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Dr. David E. Kemp, D.C.NPI 1255518098
Title
President
Phone
(904) 737-2350

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00001534 FL
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00007780 FL
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X CH00007780 FL Primary

Addresses

Primary practice location

4169 University Blvd S
Jacksonville, FL 32216-4316

Mailing address

4169 University Blvd S
Jacksonville, FL 32216-4316
Phone (904) 737-2350

Other identifiers 5

IdentifierTypeStateIssuer
72157OtherFLGROUP#BLUE CROSS BLSHIELD
POO293084OtherFLRAILROAD MEDICARE
89282OtherFLBLUE CROSS BLUE SHIELD(F)
89940OtherFLBLUE CROSS BLUE SHIELD(D)
DE4435OtherFLRAILROAD MEDICARE GROUP#

National Provider Directory

National Provider Directory

Locations

4169 University Blvd S
Jacksonville, FL 32216
Phone (904) 737-2350

Practitioners & affiliated clinicians

Practitioners 2

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1164573754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164316",
            "telephone_number": "904-737-2350",
            "fax_number": "904-737-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164316",
            "telephone_number": "904-737-2350",
            "fax_number": "904-737-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMP CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-737-2350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH00001534",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH00007780",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH00007780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP#BLUE CROSS BLSHIELD",
            "identifier": "72157",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "POO293084",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD(F)",
            "identifier": "89282",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD(D)",
            "identifier": "89940",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP#",
            "identifier": "DE4435",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.