Individual provider Active NPI

Kevin Matthew Christie II, D.C.

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1225191182
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9169 Issued in FL
Practice address
2900 N Military TRL Ste 220
Boca Raton, FL 33431-6308
Phone
(561) 997-8898
Fax
(561) 997-8953
NPI assigned
Dec 19, 2006
Last updated
May 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9169 FL Primary

Addresses

Primary practice location

2900 N Military TRL Ste 220
Boca Raton, FL 33431-6308

Mailing address

2900 N Military TRL
Ste 220
Boca Raton, FL 33431-6308
Phone (561) 859-3109

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110307000575 FL Practitioner - Chiropractic 4587846902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Health-Fit Chiropractic and Sports MedicineGroup PAC ID 2860674272, 2 clinicians

Practice addresses (Care Compare)

2900 N Military TRL
Suite 220
Boca Raton, FL 33431-6308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health-Fit Chiropractic & Sports Medicine CurrentSince Nov 30, 2010 Accepting new patients

Locations

2900 N Military Trl
Ste 220
Boca Raton, FL 33431
Phone (561) 997-8865

2900 N Military Trl
Ste 230
Boca Raton, FL 33431
Phone (561) 859-3109

162 NE 25th St
Ste 103
Miami, FL 33137
Phone (305) 735-8901

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1225191182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL",
            "address_2": "STE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316308",
            "telephone_number": "561-859-3109",
            "fax_number": "561-988-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316308",
            "telephone_number": "561-997-8898",
            "fax_number": "561-997-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "KEVIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.

Verify at the official NPI Registry.