Organization Active NPI

DK Acupuncture and Chiropractic Corp

Doing business as Kenemuth Chiropractic

  • Chiropractor
  • Lake Alfred, FL
National Provider Identifier
1194976316
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH001514 Issued in FL
Legal business name
DK ACUPUNCTURE AND CHIROPRACTIC CORP
Doing business as
Kenemuth Chiropractic
Practice address
880 S Lakeshore Way
Lake Alfred, FL 33850-3320
Phone
(863) 956-9393
Fax
(863) 956-9393
NPI assigned
Oct 7, 2008
Organization subpart
Yes
Parent organization
DK ACUPUNCTURE AND CHIROPRACTIC CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
David W Kenemuth, DC
Title
President
Phone
(863) 956-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH001514 FL Primary

Addresses

Primary practice location

880 S Lakeshore Way
Lake Alfred, FL 33850-3320

Mailing address

2221 W Central Ave
Winter Haven, FL 33880-2455
Phone (863) 956-9393

Other names 1

  • Kenemuth Chiropractic Doing business as

National Provider Directory

National Provider Directory
Part of
Kenemuth Chiropractic

Locations

880 S Lake Shore Way
Lake Alfred, FL 33850
Phone (863) 956-9393

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1194976316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 W CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802455",
            "telephone_number": "863-956-9393",
            "fax_number": "863-956-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S LAKESHORE WAY",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338503320",
            "telephone_number": "863-956-9393",
            "fax_number": "863-956-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DK ACUPUNCTURE AND CHIROPRACTIC CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DK ACUPUNCTURE AND CHIROPRACTIC CORP",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "KENEMUTH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-956-9393",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH001514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenemuth Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Alfred, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.