Organization Active NPI

Innate Empowerment a Chiropractic Professional Corporation

Doing business as KB Chiropractic Center

  • Chiropractor
  • Kingston, NY
National Provider Identifier
1336409390
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X05K01 Issued in NY
Legal business name
INNATE EMPOWERMENT A CHIROPRACTIC PROFESSIONAL CORPORATION
Doing business as
KB Chiropractic Center
Practice address
40 Boulevard
Kingston, NY 12401-6202
Phone
(845) 331-8010
Fax
(845) 331-8961
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Whitney Chappell
Title
Office Manager
Phone
(845) 331-8010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X05K01 NY Primary

Addresses

Primary practice location

40 Boulevard
Kingston, NY 12401-6202

Mailing address

40 Boulevard
Kingston, NY 12401-6202
Phone (845) 331-8010

Other names 1

  • KB Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130425000011 NY Part B Supplier - Clinic/Group Practice 3971749631 Receives reassigned benefits from 1 practitioner
Practice locations: Kingston, NY

National Provider Directory

National Provider Directory

Locations

40 Boulevard
Kingston, NY 12401
Phone (845) 331-8010

Practitioners & affiliated clinicians

Practitioners 3

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": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1336409390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BOULEVARD",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016202",
            "telephone_number": "845-331-8010",
            "fax_number": "845-331-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BOULEVARD",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016202",
            "telephone_number": "845-331-8010",
            "fax_number": "845-331-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE EMPOWERMENT A CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-331-8010"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X05K01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KB Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.