Individual provider Active NPI

Jeffrey J Kaufer, D.C.

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1780678268
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5679 Issued in FL
Practice address
9050 Cavatina PL
Boynton Beach, FL 33472-5129
Phone
(561) 641-4607
Fax
(561) 641-0539
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5679 FL Primary

Addresses

Primary practice location

9050 Cavatina PL
Boynton Beach, FL 33472-5129

Mailing address

9050 Cavatina PL
Boynton Beach, FL 33472-5129
Phone (561) 641-4607

Other identifiers 2

IdentifierTypeStateIssuer
20296OtherUPN NUMBER
051018100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drjkdc@gmail.com Direct

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
CH5679FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1780678268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 CAVATINA PL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334725129",
            "telephone_number": "561-641-4607",
            "fax_number": "561-641-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 CAVATINA PL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334725129",
            "telephone_number": "561-641-4607",
            "fax_number": "561-641-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFER",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPN NUMBER",
            "identifier": "20296",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051018100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjkdc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9050 Cavatina Pl",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334725129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.