Active NPI
Kevin M O'Brien, D.C.
- Chiropractor
- Andrews, NC
National Provider Identifier
1790840205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1837
- Practice address
- 18 Town Branch Rd
Andrews, NC 28901-8001 - Phone
- (828) 321-2173
- Fax
- (828) 321-2173
- NPI assigned
- Dec 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1837 | NC | Primary |
| Chiropractor | 111N00000X | 1530 | SC |
Addresses
Primary practice location
18 Town Branch Rd
Andrews, NC 28901-8001
Mailing address
18 Town Branch Rd
Andrews, NC 28901-8001
Phone (828) 321-2173
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085RH | Other | CNC-BCBS | |
| 0867B | Other | NC | NC STATE HEALTH PLAN |
| 5092103 | Other | AETNA | |
| 89085RH | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1837 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrews Family Chiropractic LLC | Chiropractor | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790840205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 TOWN BRANCH RD",
"city": "ANDREWS",
"state": "NC",
"postal_code": "289018001",
"telephone_number": "828-321-2173",
"fax_number": "828-321-2173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 TOWN BRANCH RD",
"city": "ANDREWS",
"state": "NC",
"postal_code": "289018001",
"telephone_number": "828-321-2173",
"fax_number": "828-321-2173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "KEVIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1837",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "1530",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNC-BCBS",
"identifier": "085RH",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC STATE HEALTH PLAN",
"identifier": "0867B",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5092103",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085RH",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Andrews, NC
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.