Kennedy Chiropractic Health and Wellness Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28686 Issued in CA

Legal business name

KENNEDY CHIROPRACTIC HEALTH AND WELLNESS CENTER INC

Practice address

11 Mareblu
120
Aliso Viejo, CA 92656-3066

Phone

(949) 305-1790

Fax

(949) 305-1801

NPI assigned

Aug 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kris Kelly Kennedy, D.C., L.AC.NPI 1700943560

Title

Owner/Provider

Phone

(949) 305-1790

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kennedy Chiropractic Health and Wellness Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kris K Kennedy, D.C.

  • Chiropractor
  • Aliso Viejo, CA
  • NPI 1700943560
  Medicare reassignment NPD Authorized official
• Richard D Hungerford, D.C.

  • Chiropractor
  • Portola, CA
  • NPI 1467617332
  NPD (past)

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1083845184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 ROCKFIELD BLVD",
            "address_2": "B220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182720",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAREBLU",
            "address_2": "120",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563066",
            "telephone_number": "949-305-1790",
            "fax_number": "949-305-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY CHIROPRACTIC HEALTH AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "949-305-1790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC28686",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Chiropractic Health and Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Chia-Ling Gau Kawakami, PH.D., ABMGG, NYCOQ,
• Shawn Kaye, MD
• Deeba Freshta Kazempoor, FNP
• Kempff Speech Pathology, Professional Corporation (Salt and Sun Speech Therapy)
• Kara M Kempff, MS CCC SLP
• Kris K Kennedy, D.C.
• Kenneth P Martinez MD a Medical Corp (Neurology & Pain Specialty Center)
• Kenneth Q Hoang DC a Chiropractic Corporation (Grannis Chiropractic Clinic)
• Elizah D Khan, LMT
• Salman Khanaki, D.C.

• Chiropractor in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.