Active NPI
Kendall Rae Gearhart, DC
- Chiropractor
- Alexandria, KY
National Provider Identifier
1174569073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4289
- Practice address
- 1035 Moreland Dr. Ste.1
Alexandria, KY 41001 - Phone
- (859) 448-0858
- Fax
- (859) 448-0957
- NPI assigned
- Jun 21, 2006
- Last updated
- Mar 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4289 | KY | Primary |
Addresses
Primary practice location
1035 Moreland Dr. Ste.1
Alexandria, KY 41001
Mailing address
1035 Moreland Dr.
Suite 1
Alexandria, KY 41001
Phone (859) 448-0858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85001600 | Medicaid | KY | |
| 0197979 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1035 Moreland Dr
Suite 1
Alexandria, KY 41001-8640
Phone (859) 448-0858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4289 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RJF Chiropractic Center, Inc. | Chiropractor | Past | Accepting new patients |
| Progressive Health & Rehabilitation Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Alexandria, KY
- NPI 1396973475
-
- Chiropractor
- Cincinnati, OH
- NPI 1902966245
-
dba Fick Chiropractic Center, Inc
- Chiropractor
- Cincinnati, OH
- NPI 1134201973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1174569073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 MORELAND DR.",
"address_2": "SUITE 1",
"city": "ALEXANDRIA",
"state": "KY",
"postal_code": "41001",
"telephone_number": "859-448-0858",
"fax_number": "859-448-0957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 MORELAND DR. STE.1",
"city": "ALEXANDRIA",
"state": "KY",
"postal_code": "41001",
"telephone_number": "859-448-0858",
"fax_number": "859-448-0957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEARHART",
"first_name": "KENDALL",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85001600",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0197979",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, KY
- Craig Fox
- FPM Holdings LLC (Fast Pace Health Care Management)
- Mark Joseph Franzen, B.S., D.C.
- Amanda Leigh Gastright, ARNP, NP-C, FNP-BC
- Candace Jodean Gearhart, P.T.
- Amy Glaser, RPH
- Janis L Goller, RPH
- Emily Suzanne Goshorn, PHARM D
- Elizabeth Guidi, PT
- H2 Rehabilitation Services of Kentucky, LLC (H2 Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.