Active NPI
Kena Hickey, D.C.
- Chiropractor
- Lowville, NY
National Provider Identifier
1083934020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X012093-1
- Practice address
- 7686 N State St
Lowville, NY 13367-1330 - Phone
- (315) 376-9977
- NPI assigned
- Jun 1, 2010
- Last updated
- Nov 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X012093-1 | NY | Primary |
Addresses
Primary practice location
7686 N State St
Lowville, NY 13367-1330
Mailing address
10853 State Route 26
Carthage, NY 13619-3203
Phone (315) 221-0546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X012093-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Wellness of Northern New York, PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Sackets Harbor, NY
- NPI 1639379464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1083934020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10853 STATE ROUTE 26",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136193203",
"telephone_number": "315-221-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7686 N STATE ST",
"city": "LOWVILLE",
"state": "NY",
"postal_code": "133671330",
"telephone_number": "315-376-9977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "KENA",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-01",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012093-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.