Individual provider Active NPI

Kenneth J. Vinton, D.C.

  • Chiropractor
  • Grove City, PA
National Provider Identifier
1992781769
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004038L Issued in PA
Practice address
190 George Junior Rd
Grove City, PA 16127-4414
Phone
(724) 458-1100
Fax
(888) 561-7937
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004038L PA Primary

Addresses

Primary practice location

190 George Junior Rd
Grove City, PA 16127-4414

Mailing address

190 George Junior Rd
Grove City, PA 16127-4414
Phone (724) 458-1000

Other identifiers 2

IdentifierTypeStateIssuer
409007OtherPAMEDICARE ID
000609608OtherPAKEYSTONE BLUE WEST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040903000037 PA Practitioner - Chiropractic 1951377860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC004038LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Relief and Wellness Strategies Center PC PastSince Feb 7, 2015 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1992781769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GEORGE JUNIOR RD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274414",
            "telephone_number": "724-458-1000",
            "fax_number": "888-561-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GEORGE JUNIOR RD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274414",
            "telephone_number": "724-458-1100",
            "fax_number": "888-561-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINTON",
        "first_name": "KENNETH",
        "middle_name": "J.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004038L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "409007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE BLUE WEST",
            "identifier": "000609608",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.