Active NPI
Alice Kephart, DC
- Chiropractor
- Eau Claire, WI
National Provider Identifier
1982368411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5686-12
- Practice address
- 401 Pinnacle Way Ste 120
Eau Claire, WI 54701-3449 - Phone
- (715) 318-0123
- NPI assigned
- Oct 30, 2021
- Last updated
- Oct 30, 2021
- Sex
- Female
- 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 | 5686-12 | WI | Primary |
Addresses
Primary practice location
401 Pinnacle Way Ste 120
Eau Claire, WI 54701-3449
Mailing address
401 Pinnacle Way Ste 120
Eau Claire, WI 54701-3449
Phone (715) 318-0123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220601000133 | WI | Practitioner - Chiropractic | 1153709308 | Practice locations: Eau Claire, WI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635552000000",
"number": "1982368411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 PINNACLE WAY STE 120",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013449",
"telephone_number": "715-318-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PINNACLE WAY STE 120",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013449",
"telephone_number": "715-318-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPHART",
"first_name": "ALICE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-30",
"last_updated": "2021-10-30",
"certification_date": "2021-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5686-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; 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.