Individual provider Active NPI

Kendra Dunham

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1457064677
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14335 Issued in FL
Practice address
6200 Manatee Ave W
Unit 204
Bradenton, FL 34209
Phone
(941) 761-1100
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 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 CH14335 FL Primary

Addresses

Primary practice location

6200 Manatee Ave W
Unit 204
Bradenton, FL 34209

Mailing address

8349 Bella Grove Cir Unit 203
Sarasota, FL 34243-2139
Phone (505) 503-5772

Other practice location 1

517 8th Ave W Unit 100
Palmetto, FL 34221-5121
Phone (941) 304-3013

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230130001429 FL Practitioner - Chiropractic 6709257744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RHC Health Services, LLCGroup PAC ID 0749564045, 4 clinicians

Practice addresses (Care Compare)

1813 Manatee Ave W
Bradenton, FL 34205-5926
Phone (941) 761-1100

6220 Manatee Ave W
Suite 204
Bradenton, FL 34209-2361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14335FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
RHC Health Services, LLC Chiropractor CurrentSince Oct 6, 2022 Accepting new patients
Hjcsquared, LLC Chiropractor PastSince Sep 8, 2019 Accepting new patients

Locations

6220 Manatee Ave W
Ste 204
Bradenton, FL 34209
Phone (941) 761-1100

1813 Manatee Ave W
Bradenton, FL 34205
Phone (941) 761-1100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1457064677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8349 BELLA GROVE CIR UNIT 203",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432139",
            "telephone_number": "505-503-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 MANATEE AVE W",
            "address_2": "UNIT 204",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-761-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 8th Ave W Unit 100",
            "address_purpose": "LOCATION",
            "city": "Palmetto",
            "state": "FL",
            "postal_code": "342215121",
            "country_code": "US",
            "telephone_number": "941-304-3013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "KENDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.