James Timothy Kern, D.C.
Individual provider Active NPI Chiropractor · Greene, IA
NPI 1477553121 · NPPES record last updated Sep 14, 2011
Key facts
- NPI
- 1477553121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- A06126 (IA)
- Practice address
- 109 W Traer St
Greene, IA 50636-9444 - Phone
- (641) 816-4320
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
109 W Traer St
Greene, IA 50636-9444
Phone (641) 816-4320
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050421001558 | IA | Practitioner - Chiropractic | 4385682020 | Practice locations: Greene, IA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A06126 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A06126 | IA | Yes |
Addresses
Primary practice location
109 W Traer St
Greene, IA 50636-9444
Mailing address
PO Box 493
109 W. Traer St.
Greene, IA 50636-0493
Phone (641) 816-4320
Other providers in Greene, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.