DR. KENNETH SCOTT KANDLER D.C.
NPI 1174609192
Chiropractor in Stinson Beach, CA

Q: What is Kenneth Kandler's NPI number?

The NPI number for Kenneth Kandler is 1174609192. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Q: What is Kenneth Kandler's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Kandler was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 31, 2006

3425 HIGHWAY 1, STINSON BEACH, CA 94970(415) 868-1370(415) 868-9520 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Kenneth Scott Kandler D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH SCOTT KANDLER D.C. (NPI 1174609192) is an individual chiropractor in Stinson Beach, California, licensed in California (DC25152) and active in the NPI registry since October 2006. He is a graduate of Life Chiropractic College - West (1996).

NPPES Registry Identity

NPI1174609192

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. KENNETH SCOTT KANDLERCredential: D.C.

Location Address3425 HIGHWAY 1Stinson Beach, CA 94970

Mailing Address3425 State Route 1, Po Box 267Stinson Beach, CA 94970-0267 · (415) 868-1370 · Fax (415) 868-9520

Phone(415) 868-1370

Fax(415) 868-9520

Sole ProprietorYes

Medical School CMSLife Chiropractic College - WestGraduated 1996

Enumeration DateOctober 31, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1174609192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC25152

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

3425 HIGHWAY 1, Stinson Beach, CA 94970

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Scott Kandler D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638518095

PECOS Enrollment IDI20240417003512

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Kandler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile

22 mi

Orthopedic

224A WELLER ST
Petaluma, CA 94952

Reassigned Medicare billing, California enrollment

NPI 1548345390 (707) 762-7678

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Kandler's NPI number?

The NPI number for Kenneth Kandler is 1174609192. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Kenneth Kandler located?

Kenneth Kandler practices at 3425 Highway 1, Stinson Beach, CA 94970. The listed phone number is (415) 868-1370.

What is Kenneth Kandler's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kenneth Kandler enrolled in Medicare?

Yes. Kenneth Kandler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Kandler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Kandler reassigns Medicare benefits to (Petaluma, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Kandler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Kandler was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.