Kenneth Arthur Piering, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11813 Issued in FL

Practice address

640 3Rd St N Ste 2
Jacksonville Beach, FL 32250-7147

Phone

(904) 270-2790

Fax

(904) 674-0195

NPI assigned

Mar 28, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revolution Chiropractic LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1124576566
  NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174642151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 3RD ST N STE 2",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507147",
            "telephone_number": "904-270-2790",
            "fax_number": "904-674-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 3RD ST N STE 2",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507147",
            "telephone_number": "904-270-2790",
            "fax_number": "904-674-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERING",
        "first_name": "KENNETH",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1409",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Robert Peterson, MA,LMHC,CEAP,SAP
• Jessica Phillips, IBCLC
• Wendy Colleen Phou, M.S., CF-SLP
• Physicians Group Services PA (Coastal Health)
• Samantha Pierce
• Christine C Pierre, MD
• Danielle Pitts
• Reagan K Pobst, PA-C
• Podiatry & Barefoot Wellness Centers LLC
• Podiatry Associates of Florida Inc

• Chiropractor in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.