Complete Chiropractic and Rehabilitation, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03946 Issued in MD

Legal business name

COMPLETE CHIROPRACTIC AND REHABILITATION, LLC

Practice address

3720 Farragut Ave Ste 401
Kensington, MD 20895

Phone

(240) 242-3444

Fax

(240) 669-8853

NPI assigned

May 18, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tara Z. Kern, DCNPI 1124405642

Title

Owner/Chiropractor

Phone

(240) 242-3444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Zempel Kern, D.C.

  • Chiropractor
  • Kensington, MD
  • NPI 1124405642

  Chiropractor, DC

  Medicare reassignment NPD Authorized official
• Adriana Bradford, D.C.

  • Chiropractor
  • Kensington, MD
  • NPI 1861231771
  NPD

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1477043073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 FARRAGUT AVE STE 401",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952140",
            "telephone_number": "240-242-3444",
            "fax_number": "240-669-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 FARRAGUT AVE STE 401",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "20895",
            "telephone_number": "240-242-3444",
            "fax_number": "240-669-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CHIROPRACTIC AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "240-242-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samantha Cook, OTR/L
• James Cooper, MD
• Ashley Underwood Copeland, LCMFT

• All providers in Kensington, MD
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.