Kenny Clinic of Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1054 Issued in NC

Legal business name

KENNY CLINIC OF CHIROPRACTIC PA

Practice address

2400 S Main Street
High Point, NC 27263-1945

Phone

(336) 889-3831

Fax

(336) 889-7269

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dean Richard Kerry, DC

Title

President Chiropractic Physician

Phone

(336) 889-3831

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Kenny Clinic of Chiropractic PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Kenny Clinic of Chiropractic, P.a.

  • Internist Chiropractor
  • High Point, NC
  • NPI 1003064528
  NPD tax ID

Locations

Practitioners 1

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

• Dean Richard Kenny, DC

  • Chiropractor
  • High Point, NC
  • NPI 1770699746
  Medicare reassignment NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013086826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2452",
            "address_2": "2400 S MAIN STREET",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272631945",
            "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 STREET",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272631945",
            "telephone_number": "336-889-3831",
            "fax_number": "336-889-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY CLINIC OF CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERRY",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "336-889-3831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08557",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS INSURANCE",
            "identifier": "3105",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellys Home Health & Staffing
• Batina Perez Kendrick, RN
• Laurie Kennedy-Malone, GNP-BC
• Andriena Kennedy
• Solianny Desouza Kennerly, M.D.
• Kenny Clinic of Chiropractic, P.a.
• Dean Richard Kenny, DC
• Vivian Kent, RN
• Summer Williams Kerley, PHARMD
• Kerr Drug Inc

• Chiropractor in High Point, NC
• Providers in High Point, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.