Kersenbrock Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10363 Issued in FL

Legal business name

KERSENBROCK CHIROPRACTIC, LLC

Practice address

3525 W Lake Mary Blvd
Lake Mary, FL 32746-3473

Phone

(407) 732-6920

Fax

(407) 732-6923

NPI assigned

Jun 5, 2012

Organization subpart

No

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

Authorized official

Name

Miss Kim A Cummings

Title

Office Manager

Phone

(931) 284-9100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Kersenbrock, D.C.

  • Chiropractor
  • Lake Mary, FL
  • NPI 1154609345
  Medicare reassignment NPD

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1225399330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W LAKE MARY BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463473",
            "telephone_number": "407-732-6920",
            "fax_number": "407-732-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W LAKE MARY BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463473",
            "telephone_number": "407-732-6920",
            "fax_number": "407-732-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSENBROCK CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-284-9100",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Kennedy, DMD MS
• Amy Kenny
• Sarah Kerbel, OTR/L
• Phillip Charles Kern
• Scott A Kern, LMHC
• Kersenbrock Medical and Wellness, LLC
• Benjamin Kersenbrock, D.C.
• Eli Thomas Kessinger
• Aunali S Khaku, M.D.
• Mahmoud S Khalifa, MD

• Chiropractor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.