Individual provider Active NPI

Kent Lewis Schoonover, D.C.

  • Chiropractor
  • Eddyville, KY
National Provider Identifier
1316905649
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4559 Issued in KY
Practice address
21 State Route 3305 S
Eddyville, KY 42038-7915
Phone
(270) 388-7707
NPI assigned
May 3, 2006
Last updated
Jul 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4559 KY Primary

Addresses

Primary practice location

21 State Route 3305 S
Eddyville, KY 42038-7915

Mailing address

21 State Route 3305 S
Eddyville, KY 42038-7915
Phone (270) 388-7707

Other identifiers 1

IdentifierTypeStateIssuer
85002285MedicaidKY

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435881600000",
    "number": "1316905649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 STATE ROUTE 3305 S",
            "city": "EDDYVILLE",
            "state": "KY",
            "postal_code": "420387915",
            "telephone_number": "270-388-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 STATE ROUTE 3305 S",
            "city": "EDDYVILLE",
            "state": "KY",
            "postal_code": "420387915",
            "telephone_number": "270-388-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONOVER",
        "first_name": "KENT",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002285",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eddyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; 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.