Active NPI
KTW Wellness LLC
- Chiropractor
- Upper Marlboro, MD
National Provider Identifier
1932924941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- KTW WELLNESS LLC
- Practice address
- 9500 Medical Center Dr Ste 436
Upper Marlboro, MD 20774-3716 - Phone
- (240) 271-2626
- NPI assigned
- Nov 15, 2024
- Organization subpart
- Yes
- Parent organization
- KTW WELLNESS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenya White, D.C.
- Title
- Chiropractor
- Phone
- (240) 271-2626
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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Independent Medical Examiner Chiropractor | 111NI0013X | |||
| Neurology Chiropractor | 111NN0400X | |||
| Nutrition Chiropractor | 111NN1001X | |||
| Pediatric Chiropractor | 111NP0017X | |||
| Radiology Chiropractor | 111NR0200X | |||
| Rehabilitation Chiropractor | 111NR0400X | |||
| Sports Physician Chiropractor | 111NS0005X |
Addresses
Primary practice location
9500 Medical Center Dr Ste 436
Upper Marlboro, MD 20774-3716
Mailing address
9500 Medical Center Dr Ste 436
Upper Marlboro, MD 20774-3716
National Provider Directory
National Provider Directory- Part of
- KTW Wellness LLC
Locations
9500 Medical Center Dr
Ste 436
Upper Marlboro, MD 20774
Phone (240) 271-2626
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Hyattsville, MD
- NPI 1447099031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731628800000",
"number": "1932924941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 MEDICAL CENTER DR STE 436",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207743716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 MEDICAL CENTER DR STE 436",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207743716",
"telephone_number": "240-271-2626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KTW WELLNESS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KTW WELLNESS LLC",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "KENYA",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "240-271-2626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "111NI0013X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Independent Medical Examiner",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NR0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.