Active NPI
Kevin Michael Van Nostrand, BS DC
- Chiropractor
- Punta Gorda, FL
National Provider Identifier
1801943253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 9124
- Practice address
- 324 Cross St
Punta Gorda, FL 33950-4828 - Phone
- (941) 205-2180
- Fax
- (941) 205-2181
- NPI assigned
- Jan 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 9124 | FL | Primary |
Addresses
Primary practice location
324 Cross St
Punta Gorda, FL 33950-4828
Mailing address
324 Cross St
Punta Gorda, FL 33950-4828
Phone (941) 205-2180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65924 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
324 Cross St
Punta Gorda, FL 33950-4828
Phone (941) 205-2180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 9124 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Health and Rehab of Punta Gorda, Inc. | Current | Accepting new patients | |
| Spinal Health and Rehab of Punta Gorda | Current | Accepting new patients |
Locations
2905 Tamiami Trl
Punta Gorda, FL 33950
Phone (941) 205-2180
324 Cross St
Punta Gorda, FL 33950
Phone (941) 205-2180
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Internal Medicine) Physician
- Punta Gorda, FL
- NPI 1184946691
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Punta Gorda, FL
- NPI 1134532054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1801943253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 CROSS ST",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339504828",
"telephone_number": "941-205-2180",
"fax_number": "941-205-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 CROSS ST",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339504828",
"telephone_number": "941-205-2180",
"fax_number": "941-205-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN NOSTRAND",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "BS DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 9124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "65924",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.