Individual provider Active NPI

Kenton Scott Owens, D.C.

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1295997708
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9558 Issued in FL
Practice address
4130 NW 37TH PL
A
Gainesville, FL 32606-8152
Phone
(386) 214-6059
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9558 FL Primary

Addresses

Primary practice location

4130 NW 37TH PL
A
Gainesville, FL 32606-8152

Mailing address

4130 NW 37TH PL
A
Gainesville, FL 32606-8152
Phone (386) 214-6059

Other identifiers 1

IdentifierTypeStateIssuer
0054100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080906000118 FL Practitioner - Chiropractic 1759457211 Reassigns benefits to 1 organization
Practice locations: Gainesville, FL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Associates of Gainesville IncGroup PAC ID 5294829818, 4 clinicians

Practice addresses (Care Compare)

3703 SW 13TH St
Gainesville, FL 32608-3507
Phone (352) 372-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9558FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Associates of Gainesville Inc Chiropractor CurrentSince May 1, 2024 Accepting new patients
Chiropractic Associates of Alachua, P.a. Chiropractor PastSince Mar 1, 2001 Accepting new patients

Locations

3703 SW 13th St
Gainesville, FL 32608
Phone (352) 372-4110

Organizations & group practices 2

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1295997708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 NW 37TH PL",
            "address_2": "A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068152",
            "telephone_number": "386-214-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 NW 37TH PL",
            "address_2": "A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068152",
            "telephone_number": "386-214-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "KENTON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.