Active NPI
Joseph William McKenna, D.C.
- Chiropractor
- Atlanta, GA
National Provider Identifier
1003007071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009687
- Practice address
- 923 Dill Ave SW
Atlanta, GA 30310-4145 - Phone
- (404) 753-3141
- Fax
- (404) 756-1070
- NPI assigned
- Aug 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009687 | GA | Primary |
Addresses
Primary practice location
923 Dill Ave SW
Atlanta, GA 30310-4145
Mailing address
923 Dill Ave SW
Atlanta, GA 30310-4145
Phone (404) 753-3141
Other practice location 1
4141 N Henderson Rd
Ste. 14
Arlington, VA 22203-2486
Phone (571) 402-2225
Other names 1
- Dr. Joe McKenna
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009687 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chan Healthcare Group PS | Chiropractor | Past | Accepting new patients |
| Sparlin Healthcare | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Atlanta, GA
- NPI 1124567201
-
- Chiropractor
- Seattle, WA
- NPI 1528204690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003007071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 DILL AVE SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303104145",
"telephone_number": "404-753-3141",
"fax_number": "404-756-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 DILL AVE SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303104145",
"telephone_number": "404-753-3141",
"fax_number": "404-756-1070"
}
],
"practiceLocations": [
{
"address_1": "4141 N Henderson Rd",
"address_2": "Ste. 14",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222032486",
"country_code": "US",
"telephone_number": "571-402-2225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKENNA",
"first_name": "JOSEPH",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOE",
"last_name": "MCKENNA",
"prefix": "DR.",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.