Active NPI
James Timothy Kern, D.C.
- Chiropractor
- Greene, IA
National Provider Identifier
1477553121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A06126
- Practice address
- 109 W Traer St
Greene, IA 50636-9444 - Phone
- (641) 816-4320
- NPI assigned
- Jul 22, 2005
- Last updated
- Sep 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A06126 | IA | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050421001558 | IA | Practitioner - Chiropractic | 4385682020 | Practice locations: Greene, IA |
Care Compare profile
Medicare Care Compare- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1477553121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 493",
"address_2": "109 W. TRAER ST.",
"city": "GREENE",
"state": "IA",
"postal_code": "506360493",
"telephone_number": "641-816-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W TRAER ST",
"city": "GREENE",
"state": "IA",
"postal_code": "506369444",
"telephone_number": "641-816-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "JAMES",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A06126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greene, IA
- John R. Ebensberger, MD
- Greene Community School District
- Greene Volunteer Ambulance Service
- Heartland Therapy LLC
- Sarah Ann Janssen, LISW
- Mercy Health Services-Iowa Corp
- MMS-Greene Healthcare LLC
- MMS-Greene Healthcare LLC (Valley View)
- North Iowa Mercy Clinics (MercyOne Greene Family Medicine)
- Michael Steinkruger
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.