Kirt W Repp, DC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

8323 Issued in TX

Practice address

3033 Hartley Rd Ste 6
Jacksonville, FL 32257-6280

Phone

(904) 481-1111

Fax

(832) 442-3800

NPI assigned

Oct 4, 2005

Last updated

Jan 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other identifiers 1

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.

• Florida Injury & Regenerative Medicine, PLLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1528680220
  Authorized official Same address or phone
• Advanced Health & Diagnostic Partners

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • The Woodlands, TX
  • NPI 1710496245
  Authorized official Same address or phone
• California Pain & Recovery

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Folsom, CA
  • NPI 1245163393
  Authorized official Same address or phone
• Repp California Pain & Recovery Chiropractic Corp

  • Chiropractor
  • Folsom, CA
  • NPI 1316819030
  Authorized official Same address or phone
• Trik Enterprises

  dba Integrative Health & Medical

  • Neurology Chiropractor
  • The Woodlands, TX
  • NPI 1679757314
  NPD (past) Authorized official
• Advanced Medical Associates

  • Chiropractor
  • Houston, TX
  • NPI 1689772790
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1598752545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9973",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773876973",
            "telephone_number": "281-831-6290",
            "fax_number": "832-442-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 HARTLEY RD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576280",
            "telephone_number": "904-481-1111",
            "fax_number": "832-442-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPP",
        "first_name": "KIRT",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1811",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12872",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "TX8323",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12872",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "8323",
            "primary": true
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "TX",
            "license": "8323",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "8323",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8P5801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leticia B Reno, M.D.
• Kimberley Saft Rentschler, PHD, LCSW
• Shannon Rentz, OTR/L
• Renz Health Services, LLC
• Jon Michael Repole, D.C.
• Reproductive Management Services, Inc. (Jacksonville Center for Reproductive Medicine)
• Reproductive Medicine Associates, P.a.
• Res Medical Services PLLC (Legends Health and Wellness)
• Rescare, Inc.
• Rescare, Inc.

• Neurology Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Neurology Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.