Organization Active NPI

Timothy M. Kehrig DC PA

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1912143090
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7940 Issued in FL
Legal business name
TIMOTHY M. KEHRIG DC PA
Practice address
1815 S Federal Hwy
#5
Boynton Beach, FL 33435-6991
Phone
(561) 737-7787
Fax
(561) 737-1131
NPI assigned
Dec 19, 2008
Last updated
Aug 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Dr. Timothy M. Kehrig, D.C.NPI 1609893577
Title
Owner
Phone
(561) 737-7787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7940 FL Primary

Addresses

Primary practice location

1815 S Federal Hwy
#5
Boynton Beach, FL 33435-6991

Mailing address

1815 S Federal Hwy
#5
Boynton Beach, FL 33435-6991
Phone (561) 737-7787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120913000122 FL Part B Supplier - Clinic/Group Practice 1759539968 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

1815 S Federal Hwy
Ste 5
Boynton Beach, FL 33435
Phone (561) 737-7787

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1912143090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S FEDERAL HWY",
            "address_2": "#5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356991",
            "telephone_number": "561-737-7787",
            "fax_number": "561-737-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S FEDERAL HWY",
            "address_2": "#5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356991",
            "telephone_number": "561-737-7787",
            "fax_number": "561-737-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY M. KEHRIG DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "KEHRIG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-737-7787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.