Individual provider Active NPI

Joe Daniel Kennedy, DC

  • Chiropractor
  • Haslet, TX
National Provider Identifier
1073000147
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13778 Issued in TX
Practice address
1090 Schoolhouse Rd Ste 500
Haslet, TX 76052-3776
Phone
(817) 251-1637
NPI assigned
Apr 15, 2018
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13778 TX Primary

Addresses

Primary practice location

1090 Schoolhouse Rd Ste 500
Haslet, TX 76052-3776

Mailing address

1090 Schoolhouse Rd Ste 500
Haslet, TX 76052-3776
Phone (817) 251-1637

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609001515 TX Practitioner - Chiropractic 8022367911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1090 Schoolhouse Rd
Suite 500
Haslet, TX 76052-3776
Phone (817) 729-1544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13778TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Life Chiropractic Chiropractor CurrentSince Oct 20, 2024 Accepting new patients
Restore Chiropractic LLC Chiropractor CurrentSince Mar 14, 2025 Accepting new patients

Locations

1090 Schoolhouse Rd
Ste 500
Haslet, TX 76052
Phone (817) 251-1637

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1073000147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 SCHOOLHOUSE RD STE 500",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523776",
            "telephone_number": "817-251-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 SCHOOLHOUSE RD STE 500",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523776",
            "telephone_number": "817-251-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JOE",
        "middle_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-15",
        "last_updated": "2025-02-24",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslet, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.