Individual provider Active NPI

David Kerschner, DC

  • Chiropractor
  • East Greenbush, NY
National Provider Identifier
1871501213
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X002195-1 Issued in NY
Practice address
6 Greenwood Dr
East Greenbush, NY 12061-2036
Phone
(518) 477-1080
Fax
(518) 477-1082
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X002195-1 NY Primary

Addresses

Primary practice location

6 Greenwood Dr
East Greenbush, NY 12061-2036

Mailing address

6 Greenwood Dr
East Greenbush, NY 12061-2036
Phone (518) 477-1080

Other identifiers 5

IdentifierTypeStateIssuer
350043583OtherRAILROAD MEDICARE
CO2195-8BOtherNYWORKERS' COMPENSATION
X1320OtherNYEMPIRE BCBS
100160460OtherCDPHP
0039749OtherNYGHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000904 NY Practitioner - Chiropractic 5890819718 Practice locations: East Greenbush, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6 Greenwood Dr
East Greenbush, NY 12061-2036
Phone 5184771080771080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
X002195-1NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1871501213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GREENWOOD DR",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612036",
            "telephone_number": "518-477-1080",
            "fax_number": "518-477-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GREENWOOD DR",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612036",
            "telephone_number": "518-477-1080",
            "fax_number": "518-477-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSCHNER",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002195-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350043583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "CO2195-8B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "X1320",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "100160460",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0039749",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenbush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.