Active NPI
Kenyon Chiropractic P.C.
- Chiropractor
- Enid, OK
National Provider Identifier
1043411507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3212
- Legal business name
- KENYON CHIROPRACTIC P.C.
- Practice address
- 2003 W Owen K Garriott Rd
Enid, OK 73703-5530 - Phone
- (580) 237-2289
- Fax
- (580) 237-3751
- NPI assigned
- May 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arnold William Kenyon, D.C.
- Title
- President
- Phone
- (580) 237-2289
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3212 | OK | Primary |
Addresses
Primary practice location
2003 W Owen K Garriott Rd
Enid, OK 73703-5530
Mailing address
2003 W Owen K Garriott Rd
Enid, OK 73703-5530
Phone (580) 237-2289
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 445763396003 | Other | OK | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Enid, OK
- NPI 1861453995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043411507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 W OWEN K GARRIOTT RD",
"city": "ENID",
"state": "OK",
"postal_code": "737035530",
"telephone_number": "580-237-2289",
"fax_number": "580-237-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 W OWEN K GARRIOTT RD",
"city": "ENID",
"state": "OK",
"postal_code": "737035530",
"telephone_number": "580-237-2289",
"fax_number": "580-237-3751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENYON CHIROPRACTIC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KENYON",
"authorized_official_first_name": "ARNOLD",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "580-237-2289",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OK",
"license": "3212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "445763396003",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- 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.