Organization Active NPI

Kantner Chiropractic, LLC

Doing business as Kantner Chiropractic

  • Chiropractor
  • Wapakoneta, OH
National Provider Identifier
1326510249
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KANTNER CHIROPRACTIC, LLC
Doing business as
Kantner Chiropractic
Practice address
801 Brewfield Dr
Wapakoneta, OH 45895-9394
Phone
(419) 738-4373
Fax
(419) 738-3780
NPI assigned
Dec 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Authorized official

Name
Dr. Ronald D. Kantner, DC
Title
Owner
Phone
(419) 738-4373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

801 Brewfield Dr
Wapakoneta, OH 45895-9394

Mailing address

801 Brewfield Dr
Wapakoneta, OH 45895-9394
Phone (419) 738-4373

Other names 1

  • Kantner Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190301001475 OH Part B Supplier - Clinic/Group Practice 4789923186 Receives reassigned benefits from 1 practitioner
Practice locations: Wapakoneta, OH

National Provider Directory

National Provider Directory

Locations

801 Brewfield Dr
Wapakoneta, OH 45895
Phone (419) 738-1000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1326510249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BREWFIELD DR",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458959394",
            "telephone_number": "419-738-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BREWFIELD DR",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458959394",
            "telephone_number": "419-738-4373",
            "fax_number": "419-738-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANTNER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "KANTNER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-738-4373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kantner Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wapakoneta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.