Kensho Total Wellness Day Spa, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3690 Issued in CO

Legal business name

KENSHO TOTAL WELLNESS DAY SPA, LLC

Practice address

37 N Nevada Ave
Montrose, CO 81401-3904

Phone

(970) 249-7377

NPI assigned

Jun 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth D Edgar, D.C.NPI 1992883961

Title

President

Phone

(970) 249-7377

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Kenneth D Edgar, D.C.

  • Chiropractor
  • Montrose, CO
  • NPI 1992883961
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1700225018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 N NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013904",
            "telephone_number": "970-249-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 N NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013904",
            "telephone_number": "970-249-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENSHO TOTAL WELLNESS DAY SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "EDGAR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-249-7377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey T Kay, D.O.
• Anne Keil, PT DPT
• Jean Richele Kelley, RN
• Jack Kelly
• Kellyn Kennedy, PHARM.D.
• Ketamine West LLC
• Keystone Behavioral Consultation LLC
• Keystone Physical Therapy LLC
• Patricia Kiebler, CRNA
• Robert G Kilbourn, M.D., PHD

• Chiropractor in Montrose, CO
• Providers in Montrose, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.