Individual provider Active NPI

Kenneth Rosenblatt, D.C.

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1770635583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHOOO3914 Issued in FL
Practice address
8221 Glades Rd Ste 202
Boca Raton, FL 33434-4033
Phone
(561) 482-9640
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHOOO3914 FL Primary

Addresses

Primary practice location

8221 Glades Rd Ste 202
Boca Raton, FL 33434-4033

Mailing address

7926 Tennyson CT
Boca Raton, FL 33433-4144
Phone (561) 482-9640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHOOO3914FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Pain Management Chiropractor CurrentSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770635583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7926 TENNYSON CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334144",
            "telephone_number": "561-482-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 GLADES RD STE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344033",
            "telephone_number": "561-482-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CHOOO3914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.