NPIMap

Organization Active NPI

Kenny Clinic of Chiropractic, P.a.

  • Internist Chiropractor
  • High Point, NC
National Provider Identifier
1003064528
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
1054 Issued in NC
Legal business name
KENNY CLINIC OF CHIROPRACTIC, P.A.
Practice address
2400 S. Main St.
High Point, NC 27263
Phone
(336) 889-3831
Fax
(336) 889-7269
NPI assigned
Sep 9, 2008
Organization subpart
Yes
Parent organization
KENNY CLINIC OF CHIROPRACTIC, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Dr. Dean Richard Kenny, D.C.NPI 1770699746
Title
Owner-President
Phone
(336) 889-3831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0900X 1054 NC Primary

Addresses

Primary practice location

2400 S. Main St.
High Point, NC 27263

Mailing address

P.O. B. 2452
2400 S. Main St.
High Point, NC 27263
Phone (336) 889-3831

Other identifiers 2

IdentifierTypeStateIssuer
08557OtherNCBLUE CROSS BLUE SHIELD INS.
3105OtherNCPARTNERS INS.

Other names 1

  • Kenny Wellness Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kenny Clinic of Chiropractic PA2 organizations share this tax ID, including this one
Part of
Kenny Clinic of Chiropractic PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1003064528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. B. 2452",
            "address_2": "2400 S. MAIN ST.",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27263",
            "telephone_number": "336-889-3831",
            "fax_number": "336-889-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S. MAIN ST.",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27263",
            "telephone_number": "336-889-3831",
            "fax_number": "336-889-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY CLINIC OF CHIROPRACTIC, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNY CLINIC OF CHIROPRACTIC, P.A.",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "336-889-3831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "NC",
            "license": "1054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD INS.",
            "identifier": "08557",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS INS.",
            "identifier": "3105",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenny Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.