Organization Active NPI

Dr. Mark Kestner Group

  • Chiropractor
  • Murfreesboro, TN
National Provider Identifier
1942643697
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
598 Issued in TN
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

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Dr. Mark KestnerNPI 1194884445
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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 598 TN Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2593 TN
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1194884445OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130618000438 TN Part B Supplier - Clinic/Group Practice 3779722095 Receives reassigned benefits from 1 practitioner
Practice locations: Murfreesboro, TN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.