Active NPI
Kemp Chiropractic, P.a.
- Neurology Chiropractor
- Jacksonville, FL
National Provider Identifier
1164573754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CH00007780
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00001534 | FL | |
| Chiropractor | 111N00000X | CH00007780 | FL | |
| Neurology Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72157 | Other | FL | GROUP#BLUE CROSS BLSHIELD |
| POO293084 | Other | FL | RAILROAD MEDICARE |
| 89282 | Other | FL | BLUE CROSS BLUE SHIELD(F) |
| 89940 | Other | FL | BLUE CROSS BLUE SHIELD(D) |
| DE4435 | Other | FL | RAILROAD MEDICARE GROUP# |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Chiropractor
- Jacksonville, FL
- NPI 1255518098
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.