Individual provider Active NPI

Kevin Michael Van Nostrand, BS DC

  • Chiropractor
  • Punta Gorda, FL
National Provider Identifier
1801943253
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9124 Issued in FL
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

Updated by the provider on Sep 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
65924OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000678 FL Practitioner - Chiropractic 1456369354 Reassigns benefits to 1 organization

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
Spinal Health and Rehab of Punta GordaGroup PAC ID 7214053727, 5 clinicians

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

LicenseStateTypeSpecialty
CH 9124FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Health and Rehab of Punta Gorda, Inc. Current Accepting new patients
Spinal Health and Rehab of Punta Gorda CurrentSince Oct 1, 2009 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.

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.

Verify at the official NPI Registry.