Organization Active NPI

The Fix Hendersonville PLLC

  • Chiropractor
  • Hendersonville, TN
National Provider Identifier
1619606902
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THE FIX HENDERSONVILLE PLLC
Practice address
211 Indian Lake Blvd Ste B
Hendersonville, TN 37075-6443
Phone
(850) 371-2424
NPI assigned
Jun 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Kenneth Stohr Jr., D.C.NPI 1366702854
Title
Owner
Phone
(850) 371-2424

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 Primary

Addresses

Primary practice location

211 Indian Lake Blvd Ste B
Hendersonville, TN 37075-6443

Mailing address

211 Indian Lake Blvd Ste B
Hendersonville, TN 37075-6443
Phone (850) 371-2424

Other names 1

  • THE FIX CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220817001349 TN Part B Supplier - Clinic/Group Practice 5496138836 Receives reassigned benefits from 1 practitioner
Practice locations: Hendersonville, TN

National Provider Directory

National Provider Directory

Locations

211 Indian Lake Blvd
Ste B
Hendersonvlle, TN 37075
Phone (850) 371-2424

Practitioners & affiliated clinicians

Practitioners 1

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": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1619606902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 INDIAN LAKE BLVD STE B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756443",
            "telephone_number": "850-371-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 INDIAN LAKE BLVD STE B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756443",
            "telephone_number": "850-371-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FIX HENDERSONVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "STOHR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-371-2424",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE FIX CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.