DR. KENNETH DAVIS WHIDDEN JR. (NPI# 1700876729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700876729 |
| Entity Type | Individual |
| Full Name | DR. KENNETH DAVIS WHIDDEN JR. |
| Credential | D.C. |
| Practice Address |
501 Harbor Blvd Suite C Destin FL 32541-2348 |
| Practice Telephone | 8506541850 |
| Practice Fax Number | 8506549994 |
| Mailing Telephone | 8506541850 |
| Mailing Fax Number | 8506549994 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2011-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CH8151 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 381569200 | 05 |
| Street Address |
501 HARBOR BLVD SUITE C |
| City | DESTIN |
| State | FL |
| Zip Code | 32541-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245500677 | Dr. Michael E. Raim Od P.a. Inc | Optometrist | 501 Harbor Blvd, Suite D, Destin, FL 32541-2348 | 2012-01-02 |
| 1205864402 | Michael E Raim | Optometrist | 501 Harbor Blvd, Suite D, Destin, FL 32541-2348 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578020574 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 | 2019-02-26 |
| 1932640471 | Kathryn Clower | Chiropractor | 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 | 2017-03-16 |
| 1881133148 | Danielle Mckinney | Physical Therapist | 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 | 2017-02-20 |
| 1417304643 | Coastal Pediatric Group | Pediatrics | 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 | 2016-05-17 |
| 1336563956 | Blu By The Sea,llc | Clinic/Center | 3399 Scenic Highway 98, Destin, FL 32541 | 2014-02-18 |
| 1740539535 | Courtney Breaux Mcgee | Physician Assistant | 155 Crystal Beach Drive #121, Destin, FL 32541 | 2012-09-07 |
| 1073861704 | Nathan Hall Dmd Pl | Dentist | 4484 Legendary Dr, Suite B, Destin, FL 32541 | 2012-08-28 |
| 1982991121 | Bayshore Retreat, LLC | Substance Abuse Rehabilitation Facility | 457 Cahoun Ave, Destin, FL 32541 | 2011-07-08 |
| 1457661605 | Destin Surgery Clinic, P.a. | Specialist | 415 Mountain Drive, Suite # 6, Destin, FL 32541 | 2010-10-20 |
| 1194032581 | Laura Mathisen | Behavioral Analyst | 3820 Misty Way, Destin, FL 32541 | 2010-09-07 |
| Find all providers in zip 32541 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962946665 | Mark E. Baum, D.c. | Chiropractor | 6701 Sunset Dr Ste 209, South Miami, FL 33143-4529 | 2016-12-14 |
| 1386046928 | Leigh Ann Pauley | Chiropractor | 2816 Windguard Cir Ste 101, Wesley Chapel, FL 33544-7368 | 2014-09-25 |
| 1205237286 | Americas Chiropractic & Wellness Ctr, LLC | Chiropractor | 8994 Taft St, Pembroke Pines, FL 33024-4668 | 2014-09-10 |
| 1821428954 | Jesse Robert Hodges Jr. | Chiropractor | 1780 S Nova Rd Ste 4, South Daytona, FL 32119 | 2013-11-27 |
| 1356778658 | Chiropractic Usa | Chiropractor | 2150 Nw 21st St, Miami, FL 33142-7318 | 2013-10-01 |
| 1326484718 | Mellman Chiropractic Group Pa | Chiropractor | 4263 Sw 64th Ave, Davie, FL 33314-3461 | 2013-05-13 |
| 1801138375 | Abundance Spa and Rehab, Inc | Chiropractor | 3650 Sw 10th St, 1-b, Deerfield Beach, FL 33442-5997 | 2013-03-22 |
| 1881942332 | James Cyril Spencer | Chiropractor | 401 W Atlantic Ave., Ste 015, Delray Beach, FL 33444 | 2012-08-15 |
| 1386926475 | Midnight Pass Chiropractic, Inc | Chiropractor | 4012 Cortez Rd W, Suite #2206, Bradenton, FL 34210-3109 | 2011-09-14 |
| 1467750695 | Audrey Warnick | Chiropractor | 313 Beechwood Dr, Crawfordville, FL 32327-2539 | 2011-03-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.