Organization Active NPI

Kinetx Chiropractic & Rehab P.C.

  • Chiropractor
  • Exton, PA
National Provider Identifier
1922148402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007284L Issued in PA
Legal business name
KINETX CHIROPRACTIC & REHAB P.C.
Practice address
43 Marchwood Rd
Exton, PA 19341-1842
Phone
(610) 363-6244
Fax
(610) 363-6619
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eugene Serafim, DCNPI 1679612956
Title
President
Phone
(610) 363-6244

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC007284L PA Primary

Addresses

Primary practice location

43 Marchwood Rd
Exton, PA 19341-1842

Mailing address

776 Tree LN
West Chester, PA 19380-2000
Phone (610) 363-6244

Other identifiers 1

IdentifierTypeStateIssuer
2042163000OtherPAINDEPENDENCE BLUE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817000117 PA Part B Supplier - Clinic/Group Practice 4880667013 Receives reassigned benefits from 1 practitioner
Practice locations: Exton, PA

National Provider Directory

National Provider Directory

Locations

661 Exton Cmns
Exton, PA 19341
Phone (610) 368-5372

43 Marchwood Rd
Franklin Ctr, PA 19341
Phone (610) 363-6244

225 Lancaster Ave
Frazer, PA 19355
Phone (610) 264-0964

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922148402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 TREE LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802000",
            "telephone_number": "610-363-6244",
            "fax_number": "610-363-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MARCHWOOD RD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411842",
            "telephone_number": "610-363-6244",
            "fax_number": "610-363-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETX CHIROPRACTIC & REHAB P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SERAFIM",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-363-6244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007284L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE",
            "identifier": "2042163000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.