Individual provider Active NPI

Kimberly J Horton-Bender, DC, DACBN, CCN

  • Chiropractor
  • Belleair Bluffs, FL
National Provider Identifier
1932176757
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 6858 Issued in FL
Practice address
321 Indian Rocks Rd N
Suite C
Belleair Bluffs, FL 33770-2000
Phone
(727) 559-7881
Fax
(727) 559-7981
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 6858 FL Primary

Addresses

Primary practice location

321 Indian Rocks Rd N
Suite C
Belleair Bluffs, FL 33770-2000

Mailing address

323 Barbara Cir
Belleair, FL 33756-1042
Phone (727) 559-8036

Other identifiers 2

IdentifierTypeStateIssuer
040335OtherFLWORKMANS COMP
3807614-00MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110411000246 FL Practitioner - Chiropractic 4789736992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

321 Indian Rocks Rd N
Suite C
Belleair Bluffs, FL 33770-2000
Phone (727) 559-7881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CH 6858FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bender Chiropractic Center PA Chiropractor CurrentSince Jan 14, 2011 Accepting new patients

Locations

321 Indian Rocks Rd N
Ste C
Belleair Bluffs, FL 33770
Phone (727) 559-7881

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1932176757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BARBARA CIR",
            "city": "BELLEAIR",
            "state": "FL",
            "postal_code": "337561042",
            "telephone_number": "727-559-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 INDIAN ROCKS RD N",
            "address_2": "SUITE C",
            "city": "BELLEAIR BLUFFS",
            "state": "FL",
            "postal_code": "337702000",
            "telephone_number": "727-559-7881",
            "fax_number": "727-559-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON-BENDER",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC, DACBN, CCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 6858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMANS COMP",
            "identifier": "040335",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3807614-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleair Bluffs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.