Individual provider Active NPI

Kenneth Rolland Reinhart, DC

  • Orthopedic Chiropractor
  • St Petersburg, FL
National Provider Identifier
1194703322
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
CH0005728 Issued in FL
Practice address
3190 MLK St N
St Petersburg, FL 33704-2037
Phone
(727) 822-2233
Fax
(727) 894-3476
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X CH0005728 FL Primary

Addresses

Primary practice location

3190 MLK St N
St Petersburg, FL 33704-2037

Mailing address

3190 MLK St N
St Petersburg, FL 33704-2037
Phone (727) 822-2233

Other names 1

  • Kenneth R Reinhart Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120306000303 FL Practitioner - Chiropractic 9638338916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1194703322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 MLK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042037",
            "telephone_number": "727-822-2233",
            "fax_number": "727-894-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 MLK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042037",
            "telephone_number": "727-822-2233",
            "fax_number": "727-894-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHART",
        "first_name": "KENNETH",
        "middle_name": "ROLLAND",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "CH0005728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "REINHART",
            "middle_name": "R",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.