Kenemuth Family Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8225 Issued in FL

Legal business name

KENEMUTH FAMILY CHIROPRACTIC, INC.

Practice address

1520 S Babcock St
Suite B
Melbourne, FL 32901-3034

Phone

(321) 768-8005

Fax

(321) 768-8726

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Kenemuth, D.C.NPI 1932130614

Title

President

Phone

(321) 768-8005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael David Kenemuth, D.C.

  • Chiropractor
  • Melbourne, FL
  • NPI 1932130614
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1871774489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S BABCOCK ST",
            "address_2": "SUITE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013034",
            "telephone_number": "321-768-8005",
            "fax_number": "321-768-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S BABCOCK ST",
            "address_2": "SUITE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013034",
            "telephone_number": "321-768-8005",
            "fax_number": "321-768-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENEMUTH FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "KENEMUTH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-768-8005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kemp Medical Center P a
• Darius Kemp
• Kendall R. Schumacher DMD PLLC
• Evelyn Kendall
• Joyce A Kendall, MSW
• Michael David Kenemuth, D.C.
• Lindsay Rogers Kenitz
• Desiree Elizabeth Kennedy, APRN, FNP-C
• Kenneth a Mogell DMD PA
• Jordyn Kerce

• Chiropractor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.