DR. KENNETH LE ROY ECKHARDT (NPI# 1255412151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255412151 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LE ROY ECKHARDT |
| Credential | D.C. |
| Practice Address |
7100 Redwood Blvd Suite 102 Novato CA 94945-4110 |
| Mailing Address |
400 Rowland Blvd Novato CA 94947-4617 |
| Practice Telephone | 4158922212 |
| Practice Fax Number | 4158929458 |
| Mailing Telephone | 4158922212 |
| Mailing Fax Number | 4158929458 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
19439 | CA | Chiropractic Providers |
| Street Address |
7100 REDWOOD BLVD SUITE 102 |
| City | NOVATO |
| State | CA |
| Zip Code | 94945-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427066315 | David Paul Cruz | Chiropractor | 7100 Redwood Blvd, Suite 100, Novato, CA 94945-4110 | 2006-08-04 |
| 1083050710 | Molica Anderson | Chiropractor | 7100 Redwood Blvd, Suite #100, Novato, CA 94945-4110 | 2013-05-21 |
| 1255774048 | Virginia Jurkowski-erwin | Dietitian, Registered | 7100 Redwood Blvd, Suite Number 100, Novato, CA 94945-4110 | 2013-04-10 |
| 1770849671 | Kevin Jude Holman | Physician Assistant | 7100 Redwood Blvd, Suite 200, Novato, CA 94945-4110 | 2012-04-04 |
| 1750511440 | Mark S Lawler Md Inc | Orthopaedic Surgery | 7100 Redwood Blvd, Suite 200, Novato, CA 94945-4110 | 2009-07-16 |
| 1487843207 | Holly C Kelly Md Inc. | Specialist | 7100 Redwood Blvd, Suite 200, Novato, CA 94945-4110 | 2007-10-17 |
| 1356410880 | Rhiarose Magbitang Dec | Physician Assistant | 7100 Redwood Blvd, Suite 200, Novato, CA 94945-4110 | 2006-11-07 |
| 1235238130 | Mark S Lawler | Orthopaedic Surgery | 7100 Redwood Blvd, Suite 200, Novato, CA 94945-4110 | 2006-09-21 |
| 1619076528 | Holly C Kelly | Specialist | 7100 Redwood Blvd, Suite 200, Novato, CA 94945-4110 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639943 | Joseph Francis Bielefeld | Nurse Practitioner | Marinhealth, 75 Rowland Way, #230, Novato, CA 94945 | 2020-08-14 |
| 1255835203 | California Orthopedics & Spine Inc | Physical Therapist | 7100 Redwood Boulevard, Suite 200, Novato, CA 94945 | 2018-03-22 |
| 1932601648 | Dawn Cheree Holiday-bruner | Marriage & Family Therapist | 6965 Redwood Blvd, Novato, CA 94945 | 2018-03-08 |
| 1558789545 | Kristi Marie Hudson | Marriage & Family Therapist | 7250 Redwood Blvd., Suite 300, Novato, CA 94945 | 2014-04-07 |
| 1467738484 | Andrea E Lieberstein | Dietitian, Registered | 800 De Long Avenue, Suite 100, Novato, CA 94945 | 2011-10-24 |
| 1992954473 | Elizabeth Taryn Clark | Marriage & Family Therapist | 7250 Redwood Blvd Ste 320, Novato, CA 94945 | 2008-09-09 |
| 1255508453 | Renew Physical Therapy PC | Clinic/Center | 1427 Grant Ave, Novato, CA 94945 | 2008-05-15 |
| 1407032824 | Richard P. Knudsen | Pediatrics | 100 Rowland Way, Suite 300, Pulmonary and Sleep Associates of Marin, Novato, CA 94945 | 2008-01-16 |
| 1528250735 | Susan Jean Arndt | Counselor | 505-a San Marin Drive Suite 150, Novato, CA 94945 | 2007-08-11 |
| 1588871735 | Margaret Carol Pappas | Registered Nurse | 1025 Fifth Street, Novato, CA 94945 | 2007-05-17 |
| Find all providers in zip 94945 | ||||
| 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] |
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| 1831707199 | Pacific Integrative Medical Group Inc | Chiropractor | 2232 Santa Monica Blvd # 101, Santa Monica, CA 90404-2312 | 2020-07-22 |
| 1497394779 | Beavers Better Health Chiropractic, Inc. | Chiropractor | 5707 Marconi Ave Ste D, Carmichael, CA 95608-4471 | 2020-01-03 |
| 1932758679 | Johnnie C Morgan Iv | Chiropractor | 30423 Canwood St Ste 128, Agoura Hills, CA 91301-4314 | 2019-09-05 |
| 1386291920 | Ar'neka Montford | Chiropractor | 7109 Cardenas Way, Sacramento, CA 95828-3935 | 2019-08-19 |
| 1811459738 | Garrett Neill | Chiropractor | 4299 Macarthur Blvd Ste 102, Newport Beach, CA 92660-2019 | 2019-04-01 |
| 1952869661 | Pelofsky Sports Chiropractic | Chiropractor | 700 Wilshire Blvd Ste 510, Los Angeles, CA 90017-3863 | 2019-03-12 |
| 1790252963 | Andrew Winthrop | Chiropractor | 400 Continental Blvd Ste 6070, El Segundo, CA 90245-5076 | 2018-10-25 |
| 1497233522 | Pure Sports Medical Corporation | Chiropractor | 4300 Tradewinds Dr Ste 300, Oxnard, CA 93035-1458 | 2018-07-31 |
| 1548751951 | Jeffrey Christopher Abreu | Chiropractor | 1451 66th St, Emeryville, CA 94608-1004 | 2018-05-21 |
| 1093206641 | Ulberg Healing Choices & Chiropractic, Inc | Chiropractor | 901 Greenwich Dr, Thousand Oaks, CA 91360-6022 | 2018-05-18 |
| 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.