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

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 and National Provider Directory roles.

• Kingrey Chiropractic LLC

  • 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
• Dianna Marie Jenkins
• Kiara'S Home Health
• Kandice King, APRN, FNP-C
• Kingrey Chiropractic LLC
• Jana Rosenberg Kingrey, D.C.
• Emily Fruge Klumpp
• Jessica Lacroix, RN
• Christian Mitchell
• Michael Ogea

• All providers in Westlake, LA
• 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.