KC Chiropractic Management Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KC CHIROPRACTIC MANAGEMENT CORP

Practice address

1165 E New Circle Rd
Lexington, KY 40505-4150

Phone

(859) 246-0001

Fax

(859) 246-0001

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Kenneth J Clare Jr., D.C.NPI 1730145996

Title

Owner

Phone

(859) 246-0001

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in KY

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.

• Kenneth J Clare, D.C.

  • Chiropractor
  • Lexington, KY
  • NPI 1730145996
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1265603260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 E NEW CIRCLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054150",
            "telephone_number": "859-246-0001",
            "fax_number": "859-246-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 E NEW CIRCLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054150",
            "telephone_number": "859-246-0001",
            "fax_number": "859-246-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CHIROPRACTIC MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "CLARE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-246-0001",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5553328",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO ID",
            "identifier": "009001044",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN/PHCS",
            "identifier": "9156056",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN INDIVIDUAL",
            "identifier": "01469001",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100050530",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000563409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David W Kazee, PT
• Jessica Renee Kazee, PT, DPT
• Kayla Morgan Kazee
• KB Rapid Lab LLC
• Kblisscare LLC
• KC Results Inc
• KC Wellness, Inc.
• Shreeyanta KC
• Mary Patrick Keach
• Angela McIntosh Keams

• Chiropractor in Lexington, KY
• Providers in Lexington, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.