Kennedy Avenue Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KENNEDY AVENUE WELLNESS

Doing business as

Highland Wellness

Practice address

2116 45TH St
Highland, IN 46322-3742

Phone

(219) 924-7626

NPI assigned

Jan 24, 2014

Organization subpart

No

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

Authorized official

Name

Michael Vandersluis

Title

Owner

Phone

(219) 924-7626

Specialties & licenses 1

Addresses

Other names 1

• Highland Wellness Doing business as

Practitioners 1

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

• Arman Hemmat, MD

  • Internal Medicine Physician
  • Youngstown, OH
  • NPI 1588021117

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1093138190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463110626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223742",
            "telephone_number": "219-924-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY AVENUE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "VANDERSLUIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-924-7626"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward S Kawecki, D.C.
• Cami Lauren Kekelik
• Marisa Marie Kendra, DDS
• Taylor Renee Kendra, DDS
• Kennedy Avenue Chiropractic
• Pyarali M Keshvani, MD
• Nelli Khallak, NP
• Amanda Kidd, LSW
• Suzanne Poist Killmer, COTA/L
• Ahna Elizabeth Klassen, RBT

• Chiropractor in Highland, IN
• Providers in Highland, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.