Cheryl Ketner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 26750 Issued in CA

Practice address

276 Victoria St
Costa Mesa, CA 92627-1989

Phone

(949) 642-9355

NPI assigned

Jul 18, 2006

Last updated

Sep 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ketner Chiropractic Corp

  • Chiropractor
  • Costa Mesa, CA
  • NPI 1528249927
  NPD (past) Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1538188933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 VICTORIA ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271989",
            "telephone_number": "949-642-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 VICTORIA ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271989",
            "telephone_number": "949-642-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETNER",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 26750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR CORPORATION",
            "identifier": "1528249927",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER NUMBER",
            "identifier": "W19565",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolette Ashley Kent
• Drew James Keres, DPT
• Riley Ford Kerr, PT, DPT, ATC
• Sophie Alyssa Kessner
• Ketner Chiropractic Corp
• Deric Ryan Kettwig
• Sean David Keyhour
• Abdul A Khan, M.D.
• Iman Ayub Khan
• Maryalice Elizabeth Khan, RN PHN

• Chiropractor in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.