Individual provider Active NPI

Kenneth John Freeze, DC

  • Chiropractor
  • Amarillo, TX
National Provider Identifier
1255349866
Registry record updated Nov 14, 2023
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(14) exclusion effective May 20, 2019.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5448 Issued in TX
Practice address
2920 Duniven Cir Ste 6B
Amarillo, TX 79109-1650
Phone
(806) 674-2072
Fax
(806) 331-9357
NPI assigned
Aug 3, 2006
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5448 TX Primary

Addresses

Primary practice location

2920 Duniven Cir Ste 6B
Amarillo, TX 79109-1650

Mailing address

2920 Duniven Cir Ste 6B
Amarillo, TX 79109-1650
Phone (806) 331-9355

Other identifiers 1

IdentifierTypeStateIssuer
603256OtherTXBCBS

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5448TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth J. Freeze, DC Chiropractor CurrentSince Jan 1, 1990 Accepting new patients

Locations

2920 Duniven Cir
Ste 6B
Amarillo, TX 79109
Phone (806) 331-9355

Organizations & group practices 1

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1255349866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 DUNIVEN CIR STE 6B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091650",
            "telephone_number": "806-331-9355",
            "fax_number": "806-331-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 DUNIVEN CIR STE 6B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091650",
            "telephone_number": "806-674-2072",
            "fax_number": "806-331-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEZE",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "603256",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.