Active NPI
Kevin Gerard Coleman, D.C.
- Chiropractor
- Freeville, NY
National Provider Identifier
1285732008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13054-2
- Practice address
- 194 Groton Rd
Freeville, NY 13068-9413 - Phone
- (607) 844-8566
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13054-2 | NY | Primary |
Addresses
Primary practice location
194 Groton Rd
Freeville, NY 13068-9413
Mailing address
194 Groton Rd
Freeville, NY 13068-9413
Phone (607) 844-8566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000151193 | Other | NY | EXCELLUS BC/BS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13054-2 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeville Family Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Freeville, NY
- NPI 1235269887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1285732008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 GROTON RD",
"city": "FREEVILLE",
"state": "NY",
"postal_code": "130689413",
"telephone_number": "607-844-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 GROTON RD",
"city": "FREEVILLE",
"state": "NY",
"postal_code": "130689413",
"telephone_number": "607-844-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "KEVIN",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "13054-2",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BC/BS",
"identifier": "000151193",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Freeville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.