Individual provider Active NPI

Andrew Joseph Kender III, D.C.

  • Chiropractor
  • Twinsburg, OH
National Provider Identifier
1770890220
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4110 Issued in OH
Practice address
8984 Darrow Rd
Twinsburg, OH 44087-2186
Phone
(330) 425-2101
Fax
(330) 963-0478
NPI assigned
Sep 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACUP-00181 OH
Chiropractor 111N00000X 4110 OH Primary

Addresses

Primary practice location

8984 Darrow Rd
Twinsburg, OH 44087-2186

Mailing address

8984 Darrow Rd Ste 3
Twinsburg, OH 44087-2186
Phone (330) 425-2101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208002535 OH Practitioner - Chiropractic 2466718374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8984 Darrow Rd
Twinsburg, OH 44087-2186
Phone (330) 425-2101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4110OHMDChiropractor
ACUP-00181OHMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Twinsburg Chiropractic Center Chiropractor CurrentSince Oct 1, 2017 Accepting new patients
Thaddeus C. Bosman, D.C., Inc. Chiropractor PastSince Oct 1, 2017 Accepting new patients

Locations

8984 Darrow Rd
Twinsburg, OH 44087
Phone (330) 425-2101

8984 Darrow Rd
Ste 3
Twinsburg, OH 44087
Phone (330) 425-2101

8984 Darrow Rd
Ste 2289
Twinsburg, OH 44087

Organizations & group practices 2

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": "1283558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770890220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8984 DARROW RD STE 3",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872186",
            "telephone_number": "330-425-2101",
            "fax_number": "330-963-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8984 DARROW RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872186",
            "telephone_number": "330-425-2101",
            "fax_number": "330-963-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDER",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-04",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "ACUP-00181",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.