Active NPI
Kenneth Wayne Latimer, D.C.
- Chiropractor
- Murfreesboro, TN
National Provider Identifier
1962596874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 00152
- Practice address
- 1288 Dow St
Murfreesboro, TN 37130-2413 - Phone
- (615) 890-1662
- Fax
- (615) 890-9475
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 00152 | TN | Primary |
Addresses
Primary practice location
1288 Dow St
Murfreesboro, TN 37130-2413
Mailing address
1288 Dow St
Murfreesboro, TN 37130-2413
Phone (615) 890-1662
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10835037 | Other | TN | CAQH |
| 2007913 | Other | TN | BCBSTN |
Other names 1
- Dr. K. Wayne Latimer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 00152 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962596874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1288 DOW ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371302413",
"telephone_number": "615-890-1662",
"fax_number": "615-890-9475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1288 DOW ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371302413",
"telephone_number": "615-890-1662",
"fax_number": "615-890-9475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIMER",
"first_name": "KENNETH",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC 00152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10835037",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTN",
"identifier": "2007913",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "K.",
"last_name": "LATIMER",
"middle_name": "WAYNE",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.