Jesse Kader

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13252 Issued in FL

Practice address

16349 Phil Ritson Way Ste 7
Winter Garden, FL 34787-6200

Phone

(321) 236-6326

NPI assigned

Mar 17, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Envive LLC

  dba Amplivive

  • Clinic/Center
  • Windermere, FL
  • NPI 1366224164
  NPD (past)

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1457936700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 FOREST BRANCH DR APT C",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321298948",
            "telephone_number": "321-236-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16349 PHIL RITSON WAY STE 7",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876200",
            "telephone_number": "321-236-6326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4757 The Grove Dr Ste 172",
            "address_purpose": "LOCATION",
            "city": "Windermere",
            "state": "FL",
            "postal_code": "347868426",
            "country_code": "US",
            "telephone_number": "407-217-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3531 Forest Branch Dr Apt C",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321298948",
            "country_code": "US",
            "telephone_number": "321-236-6326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADER",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@gainzbyscience.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3531 Forest Branch Dr Apt C",
            "city": "Port Orange",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321298948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Joseph
• Nisha Joshi
• JP Cosmetic Dentistry, Inc.
• Carl Edward Juliao, DMD
• Steven O Jusino
• Tara Maureen Kalbach, MA,CCC-SLP
• Elizabeth Megan Kappenman, LMHC, NCC
• Gunce Karaman, MD
• Karan S Patel DMD PA
• Teresa M Karcsmar, ARNP

• Chiropractor in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.