Active NPI
Kenneth Scott Kandler, D.C.
- Chiropractor
- Stinson Beach, CA
National Provider Identifier
1174609192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25152
- Practice address
- 3425 Highway 1
Stinson Beach, CA 94970 - Phone
- (415) 868-1370
- Fax
- (415) 868-9520
- NPI assigned
- Oct 31, 2006
- Last updated
- Jul 9, 2007
- 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 | DC25152 | CA | Primary |
Addresses
Primary practice location
3425 Highway 1
Stinson Beach, CA 94970
Mailing address
3425 State Route 1
PO Box 267
Stinson Beach, CA 94970-0267
Phone (415) 868-1370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
224 A Weller St
Petaluma, CA 94952-3410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC25152 | CA | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Petaluma, CA
- NPI 1548345390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1174609192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 STATE ROUTE 1",
"address_2": "PO BOX 267",
"city": "STINSON BEACH",
"state": "CA",
"postal_code": "949700267",
"telephone_number": "415-868-1370",
"fax_number": "415-868-9520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 HIGHWAY 1",
"city": "STINSON BEACH",
"state": "CA",
"postal_code": "94970",
"telephone_number": "415-868-1370",
"fax_number": "415-868-9520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDLER",
"first_name": "KENNETH",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stinson Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.