Organization Active NPI

Michael Kennedy, D.C., P.C.

  • Rehabilitation Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1043429822
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
1096 Issued in AZ
Legal business name
MICHAEL KENNEDY, D.C., P.C.
Practice address
7730 E McDowell Rd
Suite 107
Scottsdale, AZ 85257-3772
Phone
(480) 949-0600
Fax
(480) 949-6670
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Michael Clarkson Kennedy, D.C.NPI 1831285899
Title
Owner
Phone
(480) 949-0600

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 1096 AZ Primary

Addresses

Primary practice location

7730 E McDowell Rd
Suite 107
Scottsdale, AZ 85257-3772

Mailing address

7730 E McDowell Rd
Suite 107
Scottsdale, AZ 85257-3772
Phone (480) 949-0600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090119000010 AZ Part B Supplier - Clinic/Group Practice 2769545755 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

3002 N 7th Ave
Phoenix, AZ 85013
Phone (602) 277-2077

2807 N 7th Ave
#C
Phoenix, AZ 85007
Phone (602) 277-2077

7730 E McDowell Rd
Ste 107
Scottsdale, AZ 85257
Phone (480) 949-0600

7901 E Thomas Rd
Ste 109
Scottsdale, AZ 85251
Phone (480) 949-0600

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1043429822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 E MCDOWELL RD",
            "address_2": "SUITE 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573772",
            "telephone_number": "480-949-0600",
            "fax_number": "480-949-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 E MCDOWELL RD",
            "address_2": "SUITE 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573772",
            "telephone_number": "480-949-0600",
            "fax_number": "480-949-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL KENNEDY, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CLARKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-949-0600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "1096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.