Organization Active NPI

Huffman & Kern Ventures

Doing business as New Age Wellness and Medical Center

  • Chiropractor
  • Casselberry, FL
National Provider Identifier
1780306035
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HUFFMAN & KERN VENTURES
Doing business as
New Age Wellness and Medical Center
Practice address
853 State Road 436 Ste 1029
Casselberry, FL 32707-5479
Phone
(407) 960-3237
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Stephanie Kern, DC
Title
C0-Owner
Phone
(386) 451-5762

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

853 State Road 436 Ste 1029
Casselberry, FL 32707-5479

Mailing address

853 State Road 436 Ste 1029
Casselberry, FL 32707-5479

Other names 1

  • New Age Wellness and Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1780306035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 STATE ROAD 436 STE 1029",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 STATE ROAD 436 STE 1029",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075479",
            "telephone_number": "407-960-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUFFMAN & KERN VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "C0-OWNER",
        "authorized_official_telephone_number": "386-451-5762",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Age Wellness and Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.