Organization Active NPI

Kordonowy Chiropractic Center PA

  • Chiropractor
  • Asheville, NC
National Provider Identifier
1609986488
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1995 Issued in NC
Legal business name
KORDONOWY CHIROPRACTIC CENTER PA
Practice address
473 Hendersonville Rd
Ste C
Asheville, NC 28803-2750
Phone
(828) 277-0903
Fax
(828) 277-2754
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Dr. Stuart Charles Kordonowy, DCNPI 1780745273
Title
President
Phone
(828) 277-0903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1995 NC Primary

Addresses

Primary practice location

473 Hendersonville Rd
Ste C
Asheville, NC 28803-2750

Mailing address

473 Hendersonville Rd
Ste C
Asheville, NC 28803-2750
Phone (828) 277-0903

Other identifiers 1

IdentifierTypeStateIssuer
890856NMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080410000439 NC Part B Supplier - Clinic/Group Practice 3476630732 Receives reassigned benefits from 2 practitioners
Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1609986488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 HENDERSONVILLE RD",
            "address_2": "STE C",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032750",
            "telephone_number": "828-277-0903",
            "fax_number": "828-277-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 HENDERSONVILLE RD",
            "address_2": "STE C",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032750",
            "telephone_number": "828-277-0903",
            "fax_number": "828-277-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORDONOWY CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "KORDONOWY",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-277-0903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890856N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.