Active NPI
Kevin E Ayers, D.C.
- Chiropractor
- Tunkhannock, PA
National Provider Identifier
1801896352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007039L
- Practice address
- 202 Inspiration LN
Tunkhannock, PA 18657-6762 - Phone
- (570) 833-5327
- NPI assigned
- Jul 27, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007039L | PA | Primary |
Addresses
Primary practice location
202 Inspiration LN
Tunkhannock, PA 18657-6762
Mailing address
202 Inspiration LN
Tunkhannock, PA 18657-6762
Phone (570) 833-5327
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 449258 | Other | PA | PENNSYLVANIA BLUE SHIELD |
| 001661362 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081024000597 | PA | Practitioner - Chiropractic | 7113085739 | Practice locations: Tunkhannock, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
202 Inspiration LN
Tunkhannock, PA 18657-6762
Phone (570) 665-1168
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1801896352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 INSPIRATION LN",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186576762",
"telephone_number": "570-833-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 INSPIRATION LN",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186576762",
"telephone_number": "570-833-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYERS",
"first_name": "KEVIN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007039L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA BLUE SHIELD",
"identifier": "449258",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001661362",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tunkhannock, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.