Individual provider Active NPI

Kenneth J Kaufman Jr., D.C.

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1346269677
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6776 Issued in FL
Practice address
1400 Cattlemen Rd
Sarasota, FL 34232-6246
Phone
(941) 927-0546
Fax
(941) 786-0758
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6776 FL Primary

Addresses

Primary practice location

1400 Cattlemen Rd
Sarasota, FL 34232-6246

Mailing address

1400 Cattlemen Rd
Sarasota, FL 34232-6246
Phone (941) 957-8621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060913000160 FL Practitioner - Chiropractic 2769486323 Reassigns benefits to 1 organization
Practice locations: Sarasota, FL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Medical Center of Venice, Inc.Group PAC ID 2062480700, 5 clinicians

Practice addresses (Care Compare)

401 Johnson LN
Suite 101
Venice, FL 34285-6369
Phone (941) 484-5333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH6776FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health & Fitness.Com Inc Chiropractor Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1346269677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CATTLEMEN RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326246",
            "telephone_number": "941-957-8621",
            "fax_number": "941-786-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CATTLEMEN RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326246",
            "telephone_number": "941-927-0546",
            "fax_number": "941-786-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.