Individual provider Active NPI

Kenneth Wayne Hammon, D.C.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1922164102
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6564 Issued in FL
Practice address
10311 Cross Creek Blvd
Ste E
Tampa, FL 33647-2989
Phone
(727) 791-0099
Fax
(727) 791-2257
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6564 FL Primary

Addresses

Primary practice location

10311 Cross Creek Blvd
Ste E
Tampa, FL 33647-2989

Mailing address

10311 Cross Creek Blvd
Ste E
Tampa, FL 33647-2989
Phone (727) 791-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1922164102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10311 CROSS CREEK BLVD",
            "address_2": "STE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472989",
            "telephone_number": "727-791-0099",
            "fax_number": "727-791-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10311 CROSS CREEK BLVD",
            "address_2": "STE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472989",
            "telephone_number": "727-791-0099",
            "fax_number": "727-791-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMON",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.