Organization Active NPI

Kenyon Chiropractic P.C.

  • Chiropractor
  • Enid, OK
National Provider Identifier
1043411507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3212 Issued in OK
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

Updated by the provider on Aug 22, 2020

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.NPI 1861453995
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
445763396003OtherOKBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060308000356 OK Part B Supplier - Clinic/Group Practice 1052328556 Receives reassigned benefits from 1 practitioner
Practice locations: Enid, OK

National Provider Directory

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": "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.

Verify at the official NPI Registry.