Active NPI
Kenneth Wayne Osborn, DC
- Chiropractor
- Miami, FL
National Provider Identifier
1841351483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0001543
- Practice address
- 18441 N.W 2ND Ave.
#220
Miami, FL 33169-4537 - Phone
- (305) 652-8401
- Fax
- (305) 652-8413
- NPI assigned
- Dec 13, 2006
- 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 | CH0001543 | FL | Primary |
Addresses
Primary practice location
18441 N.W 2ND Ave.
#220
Miami, FL 33169-4537
Mailing address
18441 NW 2ND Ave
#220
Miami, FL 33169-4517
Phone (305) 652-8401
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0001543 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1841351483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18441 NW 2ND AVE",
"address_2": "#220",
"city": "MIAMI",
"state": "FL",
"postal_code": "331694517",
"telephone_number": "305-652-8401",
"fax_number": "305-652-8413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18441 N.W 2ND AVE.",
"address_2": "#220",
"city": "MIAMI",
"state": "FL",
"postal_code": "331694537",
"telephone_number": "305-652-8401",
"fax_number": "305-652-8413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "KENNETH",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0001543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.