Active NPI
Kenneth E Degroot DC Inc
Doing business as de Groot Chiropractic
- Chiropractor
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- F10000191
- Legal business name
- KENNETH E DEGROOT DC INC
- Doing business as
- de Groot Chiropractic
- Practice address
- 1401 Silverside Rd
Suite 1
Wilmington, DE 19810-4400 - Phone
- (302) 475-5600
- Fax
- (302) 475-5940
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Eric De Groot, D.O.
- Title
- Owner
- Phone
- (302) 475-5600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | F10000191 | DE | Primary |
Addresses
Primary practice location
1401 Silverside Rd
Suite 1
Wilmington, DE 19810-4400
Mailing address
1401 Silverside Rd
Suite 1
Wilmington, DE 19810-4400
Phone (302) 475-5600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001073718 | Medicaid | DE | |
| 2279331000 | Other | DE | AMERIHEALTH |
Other names 1
- de Groot Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1401 Silverside Rd
Ste 1
Wilmington, DE 19810
Phone (302) 475-5600
Interoperability endpoints
- kdegdc@docc0001.direct.chirotouch.md
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Wilmington, DE
- NPI 1730254921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346716800000",
"number": "1215156070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 SILVERSIDE RD",
"address_2": "SUITE 1",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104400",
"telephone_number": "302-475-5600",
"fax_number": "302-475-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SILVERSIDE RD",
"address_2": "SUITE 1",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104400",
"telephone_number": "302-475-5600",
"fax_number": "302-475-5940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH E DEGROOT DC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2012-09-04",
"status": "A",
"authorized_official_last_name": "DE GROOT",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "302-475-5600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "DE",
"license": "F10000191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001073718",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2279331000",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "de Groot Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.