Individual provider Active NPI

Travis Jay Kemp, DC

  • Chiropractor
  • Kearney, NE
National Provider Identifier
1881785319
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1252 Issued in NE
Practice address
11 E 31St St
Kearney, NE 68847-2912
Phone
(308) 234-1700
Fax
(308) 234-3387
NPI assigned
Sep 28, 2006
Last updated
Sep 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1252 NE Primary

Addresses

Primary practice location

11 E 31St St
Kearney, NE 68847-2912

Mailing address

11 E 31St St
Kearney, NE 68847-2912
Phone (308) 234-1700

Other identifiers 2

IdentifierTypeStateIssuer
47084202100MedicaidNE
99568OtherNEBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041011000410 NE Practitioner - Chiropractic 0547229932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Kemp Family Chiropractic PCGroup PAC ID 7810128758, 2 clinicians

Practice addresses (Care Compare)

11 E
31St
Kearney, NE 68847-2912
Phone (308) 234-1700

11 E 31St St
Kearney, NE 68847-2912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1252NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kemp Family Chiropractic PC Chiropractor CurrentSince Dec 16, 2013 Accepting new patients

Locations

11 John St
Alma, NE 68920
Phone (308) 244-1700

305 West Ave
Holdrege, NE 68949
Phone (308) 234-1700

11 E 31st St
Kearney, NE 68847
Phone (308) 234-1700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1881785319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E 31ST ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472912",
            "telephone_number": "308-234-1700",
            "fax_number": "308-234-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E 31ST ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472912",
            "telephone_number": "308-234-1700",
            "fax_number": "308-234-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "TRAVIS",
        "middle_name": "JAY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47084202100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "99568",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.