NPIMap

Organization Active NPI

Kwndcpc

  • Chiropractor
  • Clarksville, IN
National Provider Identifier
1285766154
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000999A Issued in IN
Legal business name
KWNDCPC
Practice address
1118 Eastern Blvd.
Clarksville, IN 47129
Phone
(812) 280-8188
NPI assigned
Mar 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Keith WeinNPI 1437119336
Title
Owener
Phone
(812) 280-8188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000999A IN Primary

Addresses

Primary practice location

1118 Eastern Blvd.
Clarksville, IN 47129

Mailing address

1118 Eastern Blvd.
Clarksville, IN 47129

National Provider Directory

National Provider Directory

Locations

1118 Eastern Blvd
Clarksville, IN 47129
Phone (812) 280-8188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285766154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 EASTERN BLVD.",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "47129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 EASTERN BLVD.",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "47129",
            "telephone_number": "812-280-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWNDCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "812-280-8188"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000999A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.