Individual provider Active NPI

Timothy M. Kehrig, DC

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1609893577
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007940 Issued in FL
Practice address
1815 S Federal Hwy
Suite 5
Boynton Beach, FL 33435-6991
Phone
(561) 737-7787
Fax
(561) 737-1131
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007940 FL Primary

Addresses

Primary practice location

1815 S Federal Hwy
Suite 5
Boynton Beach, FL 33435-6991

Mailing address

1815 S Federal Hwy
Suite 5
Boynton Beach, FL 33435-6991
Phone (561) 737-7787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120921000075 FL Practitioner - Chiropractic 2567610777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1815 S Federal Hwy
Suite 5
Boynton Beach, FL 33435-6991
Phone (561) 737-7787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007940FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy M. Kehrig DC PA Chiropractor CurrentSince Jul 14, 2012 Accepting new patients

Locations

1815 S Federal Hwy
Ste 5
Boynton Beach, FL 33435
Phone (561) 737-7787

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1609893577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S FEDERAL HWY",
            "address_2": "SUITE 5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356991",
            "telephone_number": "561-737-7787",
            "fax_number": "561-737-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S FEDERAL HWY",
            "address_2": "SUITE 5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356991",
            "telephone_number": "561-737-7787",
            "fax_number": "561-737-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHRIG",
        "first_name": "TIMOTHY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "007940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.

Verify at the official NPI Registry.