Individual provider Active NPI

Marc Jay Kerschner, D.C.,

  • Chiropractor
  • Wellington, FL
National Provider Identifier
1235415340
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10429 Issued in FL
Practice address
1803 Barnstable Rd
Wellington, FL 33414-6146
Phone
(561) 596-3735
NPI assigned
Nov 2, 2011
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10429 FL Primary

Addresses

Primary practice location

1803 Barnstable Rd
Wellington, FL 33414-6146

Mailing address

1803 Barnstable Rd
Wellington, FL 33414-6146
Phone (561) 596-3735

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

LicenseStateTypeSpecialty
CH10429FLMDChiropractor
2793NYMDDurable Medical Equipment & Medical Supplies

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1235415340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 BARNSTABLE RD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146146",
            "telephone_number": "561-596-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 BARNSTABLE RD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146146",
            "telephone_number": "561-596-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSCHNER",
        "first_name": "MARC",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.C.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.