Organization Active NPI

Kenworthy Chiropractic & Wellness LLC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1043524853
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8142 Issued in AZ
Legal business name
KENWORTHY CHIROPRACTIC & WELLNESS LLC
Practice address
6781 N Thornydale Rd
Suite 215
Tucson, AZ 85741-2771
Phone
(520) 742-2222
Fax
(520) 742-2456
NPI assigned
Aug 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Dr. Stephen Kenworthy, D.C.NPI 1356664254
Title
Clinic Director
Phone
(520) 742-2222

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 8142 AZ Primary

Addresses

Primary practice location

6781 N Thornydale Rd
Suite 215
Tucson, AZ 85741-2771

Mailing address

6781 N Thornydale Rd
Suite 215
Tucson, AZ 85741-2771
Phone (520) 742-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101118001229 AZ Part B Supplier - Clinic/Group Practice 2961698774 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

2390 N Alma School Rd
Chandler, AZ 85224
Phone (480) 532-9884

6781 N Thornydale Rd
Ste 215
Tucson, AZ 85741
Phone (520) 742-2222

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": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1043524853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6781 N THORNYDALE RD",
            "address_2": "SUITE 215",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412771",
            "telephone_number": "520-742-2222",
            "fax_number": "520-742-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 N THORNYDALE RD",
            "address_2": "SUITE 215",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412771",
            "telephone_number": "520-742-2222",
            "fax_number": "520-742-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENWORTHY CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "KENWORTHY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "520-742-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.