Active NPI
Kenan Doran
- Chiropractor
- Lutz, FL
National Provider Identifier
1790668374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5946
- Practice address
- 2540 Green Forest LN Ste 102
Lutz, FL 33558-5388 - Phone
- (813) 575-3550
- NPI assigned
- Jul 30, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5946 | NC | Primary |
Addresses
Primary practice location
2540 Green Forest LN Ste 102
Lutz, FL 33558-5388
Mailing address
2540 Green Forest LN Ste 102
Lutz, FL 33558-5388
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5946 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785024000000",
"number": "1790668374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 GREEN FOREST LN STE 102",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 GREEN FOREST LN STE 102",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585388",
"telephone_number": "813-575-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORAN",
"first_name": "KENAN",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-07-30",
"last_updated": "2026-07-26",
"certification_date": "2026-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "5946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.