NPIMap

Organization Active NPI

Kennedy Avenue Chiropractic, LLC

  • Chiropractor
  • Hammond, IN
National Provider Identifier
1053446054
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KENNEDY AVENUE CHIROPRACTIC, LLC
Practice address
6949 Kennedy Ave
Hammond, IN 46323-2244
Phone
(219) 845-5220
NPI assigned
Feb 22, 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
Buffie L Rome II
Title
Business Office Manager
Phone
(504) 467-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6949 Kennedy Ave
Hammond, IN 46323-2244

Mailing address

1919 Veterans Boulevard
Suite 200
Kenner, LA 70062

National Provider Directory

National Provider Directory

Locations

1919 Veterans Memorial Blvd
Kenner, LA 70062
Phone (504) 301-5377

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053446054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 VETERANS BOULEVARD",
            "address_2": "SUITE 200",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6949 KENNEDY AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463232244",
            "telephone_number": "219-845-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY AVENUE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROME",
        "authorized_official_first_name": "BUFFIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "504-467-0302",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.