Individual provider Active NPI

Kenneth Andrew Fraser, DC

  • Chiropractor
  • Napa, CA
National Provider Identifier
1912425547
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34007 Issued in CA
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

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Lazarus Chiropractic Inc. Chiropractor CurrentSince Jun 13, 2023 Accepting new patients
Heun Chiropractic Inc. Chiropractor CurrentSince Jul 13, 2019 Accepting new patients
Hoffmann Chiropractic and Wellness Group Inc. Chiropractor PastSince Jul 13, 2019 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.

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.

Verify at the official NPI Registry.