Kent Charles Long, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

1362 Issued in OH

Practice address

4978 Northcutt PL
Dayton, OH 45414-3840

Phone

(937) 278-7246

Fax

(937) 278-5640

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kent C Long DC Inc

  dba Long Chiropractic Office

  • Rehabilitation Chiropractor
  • Dayton, OH
  • NPI 1386771673
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1649323379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4978 NORTHCUTT PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143840",
            "telephone_number": "937-278-7246",
            "fax_number": "937-278-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4978 NORTHCUTT PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143840",
            "telephone_number": "937-278-7246",
            "fax_number": "937-278-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KENT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "1362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Jo Long, APRN
• Jacob Raymond Long, DO
• Jamie Long, CNP
• Jaylin Doniece Long
• Jennifer Lynn Long, RN
• Leslie Frances Long, PT
• Louis Long, CTRS
• Michelle Long, LPN
• Ryan A Long, DDS
• Suzette Myton Long, MD

• Rehabilitation Chiropractor in Dayton, OH
• Providers in Dayton, OH by specialty
• Rehabilitation Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.