NPIMap

Individual provider Active NPI

Kelle R Ozmon, DC

  • Chiropractor
  • Palmetto, FL
National Provider Identifier
1295862894
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8012 Issued in FL
Practice address
449 10TH Ave W
Palmetto, FL 34221-5031
Phone
(941) 729-5727
Fax
(941) 729-5679
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8012 FL Primary

Addresses

Primary practice location

449 10TH Ave W
Palmetto, FL 34221-5031

Mailing address

449 10TH Ave W
Palmetto, FL 34221-5031
Phone (941) 729-5727

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
CH8012FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Accident Recovery Center of Palmetto Chiropractor Past Accepting new patients
Chiromed Chiropractic Center, Inc Chiropractor Past Accepting new patients
Accident Rehabilitation Center of Palmetto Chiropractor Past Accepting new patients
Westcoast Spine Center Sarasota PA Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1295862894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 10TH AVE W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215031",
            "telephone_number": "941-729-5727",
            "fax_number": "941-729-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 10TH AVE W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215031",
            "telephone_number": "941-729-5727",
            "fax_number": "941-729-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZMON",
        "first_name": "KELLE",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.