Organization Active NPI

HSS Chiropractic LLC

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1659713402
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HSS CHIROPRACTIC LLC
Practice address
4401 SE Federal Hwy
Suite 104
Stuart, FL 34997-5760
Phone
(772) 286-1720
Fax
(772) 286-7141
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Dr. Alyssa Kenyon, DCNPI 1942538525
Title
Ceo
Phone
(772) 286-1720

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

4401 SE Federal Hwy
Suite 104
Stuart, FL 34997-5760

Mailing address

4401 SE Federal Hwy
Suite 104
Stuart, FL 34997-5760
Phone (772) 286-1720

Other names 1

  • Healthsource of Stuart Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131010000642 FL Part B Supplier - Clinic/Group Practice 0042444846 Receives reassigned benefits from 1 practitioner
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

4401 SE Federal Hwy
Unit 104
Stuart, FL 34997
Phone (772) 286-1720

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": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1659713402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 SE FEDERAL HWY",
            "address_2": "SUITE 104",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975760",
            "telephone_number": "772-286-1720",
            "fax_number": "772-286-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 SE FEDERAL HWY",
            "address_2": "SUITE 104",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975760",
            "telephone_number": "772-286-1720",
            "fax_number": "772-286-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-286-1720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthsource of Stuart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.