DR. KENNETH DAVIS WHIDDEN JR. D.C.
NPI 1700876729
Chiropractor - Sports Physician in Destin, FL

Q: What is Kenneth Whidden's NPI number?

The NPI number for Kenneth Whidden is 1700876729. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Q: What is Kenneth Whidden's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Whidden was last updated on January 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 21, 2005Accepts Medicare Assignment

501 HARBOR BLVD, SUITE C, DESTIN, FL 32541(850) 654-1850(850) 654-9994 Get Directions Write a Review

NPPES record last updated: January 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kenneth Davis Whidden Jr. D.c. NPPES

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

DR. KENNETH DAVIS WHIDDEN JR. D.C. (NPI 1700876729) is an individual sports physician in Destin, Florida, licensed in Florida (CH8151) and active in the NPI registry since October 2005. He is a graduate of Life Chiropractic College (2000).

NPPES Registry Identity

NPI1700876729

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameDR. KENNETH DAVIS WHIDDEN JR.Credential: D.C.

Location Address501 HARBOR BLVD, SUITE CDestin, FL 32541-2348

Mailing Address501 Harbor Blvd, Suite CDestin, FL 32541-2348 · (850) 654-1850 · Fax (850) 654-9994

Phone(850) 654-1850

Fax(850) 654-9994

Sole ProprietorNo

Medical School CMSLife Chiropractic CollegeGraduated 2000

Enumeration DateOctober 21, 2005

Last NPPES UpdateJanuary 15, 2011

✔ NPI 1700876729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in FL · CH8151

Definition

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.

501 HARBOR BLVD, Destin, FL 32541

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Other Identifiers 3

Medicare ID-Type Unspecified54004AFL

Medicare UPINU84346FL

Medicaid381569200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Providence Health Plan, Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Davis Whidden Jr. D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870747108

PECOS Enrollment IDI20130213000532

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

820 services190 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL E RAIM O.D.

Optometrist (Corneal and Contact Management)

501 HARBOR BLVD, SUITE D
DESTIN, FL 32541

Okaloosa County (850) 837-9161

DR. MICHAEL E. RAIM OD P.A. INC

Optometrist (Corneal and Contact Management)

501 HARBOR BLVD, SUITE D
DESTIN, FL 32541

Okaloosa County (850) 837-9161

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 Whidden's NPI number?

The NPI number for Kenneth Whidden is 1700876729. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Kenneth Whidden located?

Kenneth Whidden practices at 501 Harbor Blvd Suite C, Destin, FL 32541. The listed phone number is (850) 654-1850.

What is Kenneth Whidden's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Kenneth Whidden enrolled in Medicare?

Yes. Kenneth Whidden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Whidden accept?

Health plans from Blue Cross and Blue Shield of Alabama, Providence Health Plan and Wellpoint list Kenneth Whidden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Whidden was last updated on January 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.