Individual provider Active NPI

Kendra Styron, DC

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1881156743
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1068 Issued in ND
Practice address
1684 Capitol Way
Bismarck, ND 58501-2193
Phone
(701) 751-0642
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1068 ND Primary

Addresses

Primary practice location

1684 Capitol Way
Bismarck, ND 58501-2193

Mailing address

1684 Capitol Way
Bismarck, ND 58501-2193
Phone (701) 751-0642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821001433 ND Practitioner - Chiropractic 9436487071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Chiropractic IncGroup PAC ID 8022363522, 3 clinicians

Practice addresses (Care Compare)

1640 E Capitol Ave
Suite B
Bismarck, ND 58501-5618
Phone (701) 751-0642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1068NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Chiropractic Inc. Chiropractor CurrentSince Apr 4, 2020 Accepting new patients
West2North Medical Solutions Past Accepting new patients

Locations

1640 E Capitol Ave
Ste B
Bismarck, ND 58501
Phone (701) 751-0642

1684 E Capitol Way
Bismarck, ND 58501
Phone (701) 751-0642

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1881156743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 CAPITOL WAY",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012193",
            "telephone_number": "701-751-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 CAPITOL WAY",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012193",
            "telephone_number": "701-751-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYRON",
        "first_name": "KENDRA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.