Active NPI
Kenneth Andrew Fraser, DC
- Chiropractor
- Napa, CA
National Provider Identifier
1912425547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34007
- Practice address
- 2000 Jefferson St
Napa, CA 94559-1214 - Phone
- (707) 681-1483
- Fax
- (707) 666-0604
- NPI assigned
- Sep 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34007 | CA | Primary |
Addresses
Primary practice location
2000 Jefferson St
Napa, CA 94559-1214
Mailing address
1400 El Capitan Way
Napa, CA 94558-2812
Phone (707) 681-1483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190515003309 | CA | Practitioner - Chiropractic | 4082957956 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1734 Jefferson St
Suite a
Napa, CA 94559-1746
Phone (707) 224-2283
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lazarus Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
| Heun Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
| Hoffmann Chiropractic and Wellness Group Inc. | Chiropractor | Past | Accepting new patients |
Locations
2000 Jefferson St
Napa, CA 94559
Phone (707) 255-4424
1734 Jefferson St
Ste A
Napa, CA 94559
Phone (707) 224-2283
Organizations & group practices 3
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.
-
- Chiropractor
- Van Nuys, CA
- NPI 1013151877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1912425547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 EL CAPITAN WAY",
"city": "NAPA",
"state": "CA",
"postal_code": "945582812",
"telephone_number": "707-681-1483",
"fax_number": "707-666-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 JEFFERSON ST",
"city": "NAPA",
"state": "CA",
"postal_code": "945591214",
"telephone_number": "707-681-1483",
"fax_number": "707-666-0604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "KENNETH",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-04",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.