Active NPI
Dr. Mark Kestner Group
- Chiropractor
- Murfreesboro, TN
National Provider Identifier
1942643697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 598
- Legal business name
- DR. MARK KESTNER GROUP
- Practice address
- 1435 NW Broad St
Murfreesboro, TN 37129-1707 - Phone
- (615) 895-1253
- Fax
- (615) 895-1219
- NPI assigned
- Apr 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Kestner
- Title
- Owner
- Phone
- (615) 895-1253
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 598 | TN | Primary |
| Chiropractor | 111N00000X | 2593 | TN | |
| Sports Physician Chiropractor | 111NS0005X | 598 | TN |
Addresses
Primary practice location
1435 NW Broad St
Murfreesboro, TN 37129-1707
Mailing address
1435 NW Broad St
Murfreesboro, TN 37129-1707
Phone (615) 895-1253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194884445 | Other | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1435 NW Broad St
Murfreesboro, TN 37129
Phone (615) 895-1235
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Murfreesboro, TN
- NPI 1194884445
-
- Chiropractor
- Naperville, IL
- NPI 1588928121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365724800000",
"number": "1942643697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 NW BROAD ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291707",
"telephone_number": "615-895-1253",
"fax_number": "615-895-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 NW BROAD ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291707",
"telephone_number": "615-895-1253",
"fax_number": "615-895-1219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. MARK KESTNER GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-12",
"last_updated": "2013-04-12",
"status": "A",
"authorized_official_last_name": "KESTNER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-895-1253",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TN",
"license": "598",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TN",
"license": "2593",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "TN",
"license": "598",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1194884445",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.