Charles Timothy Kingrey Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1710 Issued in LA

Practice address

902 Sampson St
Westlake, LA 70669-5311

Phone

(337) 436-3145

Fax

(337) 436-5435

NPI assigned

May 15, 2014

Last updated

May 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Kingrey Chiropractic LLCGroup PAC ID 9133446883, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kingrey Chiropractic LLC

  dba Eastman-Kingrey Clinic

  • Chiropractor
  • Westlake, LA
  • NPI 1104237585
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1376954024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "WESTLAKE",
            "state": "LA",
            "postal_code": "706690277",
            "telephone_number": "337-436-3145",
            "fax_number": "337-436-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 SAMPSON ST",
            "city": "WESTLAKE",
            "state": "LA",
            "postal_code": "706695311",
            "telephone_number": "337-436-3145",
            "fax_number": "337-436-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGREY",
        "first_name": "CHARLES",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hulin Urgent Care Services LLC (Hulin Urgent Care Services LLC d/b/a SouthStar Ur)
• Dianna Marie Jenkins
• Kiara's Home Health
• Kandice King, APRN, FNP-C
• Kingrey Chiropractic LLC (Eastman-Kingrey Clinic)
• Jana Rosenberg Kingrey, D.C.
• Emily Fruge Klumpp
• Jessica Lacroix, RN
• Christian Mitchell
• Melissa M Murray

• Chiropractor in Westlake, LA
• Providers in Westlake, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.