Active NPI
Kenneth Collado
- Rehabilitation Chiropractor
- Tampa, FL
National Provider Identifier
1205168630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- MM23949
- Practice address
- 10013 N Florida Ave
Tampa, FL 33612-7410 - Phone
- (813) 443-4545
- Fax
- (813) 443-4542
- NPI assigned
- Feb 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | MM23949 | FL | Primary |
| Other Specialist/Technologist | 246Z00000X | MM 23949 | FL |
Addresses
Primary practice location
10013 N Florida Ave
Tampa, FL 33612-7410
Mailing address
10013 N Florida Ave
Tampa, FL 33612-7410
Phone (813) 443-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MM23949 | FL | MD | Rehabilitation Chiropractor |
| MM 23949 | FL | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1205168630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10013 N FLORIDA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127410",
"telephone_number": "813-443-4545",
"fax_number": "813-443-4542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10013 N FLORIDA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127410",
"telephone_number": "813-443-4545",
"fax_number": "813-443-4542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLADO",
"first_name": "KENNETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-10",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "MM23949",
"primary": true
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "FL",
"license": "MM 23949",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.