Active NPI
Mark A Kestner, DC
- Chiropractor
- Murfreesboro, TN
National Provider Identifier
1194884445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 598
- Practice address
- 1435 NW Broad St
Murfreesboro, TN 37129-1707 - Phone
- (615) 895-1253
- Fax
- (615) 895-1219
- NPI assigned
- Dec 6, 2006
- 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 | DC 598 | TN | Primary |
Addresses
Primary practice location
1435 NW Broad St
Murfreesboro, TN 37129-1707
Mailing address
1435 NW Broad St
Murfreesboro, TN 37129-1707
Phone (615) 895-1253
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005150 | Other | TN | BLUE CROSS BLUE SHIELD |
| 9499090 | Other | TN | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071004000860 | TN | Practitioner - Chiropractic | 0749375798 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1435 NW Broad St
Murfreesboro, TN 37129-1707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 598 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Mark Kestner Group | Chiropractor | Current | Accepting new patients |
Locations
1435 NW Broad St
Murfreesboro, TN 37129
Phone (615) 895-1235
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.
-
- Chiropractor
- Murfreesboro, TN
- NPI 1942643697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194884445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 NW BROAD ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291707",
"telephone_number": "615-895-1253",
"fax_number": "615-895-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 NW BROAD ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291707",
"telephone_number": "615-895-1253",
"fax_number": "615-895-1219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESTNER",
"first_name": "MARK",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC 598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2005150",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9499090",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.