Individual provider Active NPI

Kaleb Allen Hebert, DC

  • Chiropractor
  • Moorestown, NJ
National Provider Identifier
1174081244
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00760500 Issued in NJ
Practice address
720 E Main St Ste 1D
Moorestown, NJ 08057-3058
Phone
(517) 214-7705
NPI assigned
Mar 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00760500 NJ Primary

Addresses

Primary practice location

720 E Main St Ste 1D
Moorestown, NJ 08057-3058

Mailing address

720 E Main St Ste 1D
Moorestown, NJ 08057-3058
Phone (517) 214-7705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190516000448 NJ Practitioner - Chiropractic 7315280294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Dynamic Chiropractic LLCGroup PAC ID 8820331796, 2 clinicians

Practice addresses (Care Compare)

720 E Main St
Suite 1D
Moorestown, NJ 08057-3058
Phone (856) 222-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Chiropractic LLC Chiropractor CurrentSince Apr 1, 2019 Accepting new patients

Locations

720 E Main St
Ste 1D
Moorestown, NJ 08057
Phone (856) 222-1500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1174081244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E MAIN ST STE 1D",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573058",
            "telephone_number": "517-214-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E MAIN ST STE 1D",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573058",
            "telephone_number": "517-214-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "KALEB",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00760500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.