Organization Active NPI

Klonel Chiropractic & Rebabiltation Center, P.a.

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1487926994
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5936 Issued in FL
Legal business name
KLONEL CHIROPRACTIC & REBABILTATION CENTER, P.A.
Practice address
462 W Central Pkwy
Altamonte Springs, FL 32714-2415
Phone
(407) 682-6809
Fax
(407) 682-3020
NPI assigned
Jan 30, 2012
Last updated
Feb 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Dr. Kent E KlonelNPI 1245207810
Title
Doctor
Phone
(407) 682-6809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5936 FL Primary

Addresses

Primary practice location

462 W Central Pkwy
Altamonte Springs, FL 32714-2415

Mailing address

462 W Central Pkwy
Altamonte Springs, FL 32714-2415
Phone (407) 682-6809

Other identifiers 1

IdentifierTypeStateIssuer
050765200MedicaidFL

National Provider Directory

National Provider Directory

Locations

462 W Central Pkwy
Altamonte Springs, FL 32714
Phone (407) 682-6809

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1487926994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 W CENTRAL PKWY",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142415",
            "telephone_number": "407-682-6809",
            "fax_number": "407-682-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 W CENTRAL PKWY",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142415",
            "telephone_number": "407-682-6809",
            "fax_number": "407-682-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLONEL CHIROPRACTIC & REBABILTATION CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "KLONEL",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "407-682-6809",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050765200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.