Kenn Allan Niebrugge, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

CH8610 Issued in FL

Practice address

4170 Town Center Blvd
Suite 100
Orlando, FL 32837-5873

Phone

(407) 857-6166

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ownorth, PLLC

  • Chiropractor
  • Apopka, FL
  • NPI 1184166951
  Medicare reassignment NPD
• Socc PL

  • Chiropractor
  • Orlando, FL
  • NPI 1861450652
  NPD (past)
• Victor J Drobnic D.C. P.a.

  • Chiropractor
  • Fort Myers, FL
  • NPI 1174799175
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1831285360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 HOLDERRNESS DRIVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "32779",
            "telephone_number": "407-682-5243",
            "fax_number": "407-682-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 TOWN CENTER BLVD",
            "address_2": "SUITE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375873",
            "telephone_number": "407-857-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEBRUGGE",
        "first_name": "KENN",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "FL",
            "license": "CH8610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381757100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marnie Nicolaus, MOT, OTR/L
• Nicole Homecare Services LLC
• Melissa Susan Nicoletti, M.D.
• Zulima A. Nicoloff, M.D.
• Alyssa Nicotra
• Anne M Nielsen, NP
• Annette Nicole Nielsen, MD
• Brianna Nielsen
• Lauren Margaret Nielsen, PT, DPT, DSC
• Mignon Teresa Nielsen, CRNA

• Internist Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Internist Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.