Individual provider Active NPI

Joseph William McKenna, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1003007071
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009687 Issued in GA
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

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CHIR009687GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chan Healthcare Group PS Chiropractor PastSince Jan 1, 2009 Accepting new patients
Sparlin Healthcare PastSince Oct 16, 2017 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.

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.

Verify at the official NPI Registry.