Family First Health Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FAMILY FIRST HEALTH CENTER PC

Practice address

1632 Lebanon Ave
Belleville, IL 62221-2466

Phone

(618) 310-1499

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Anthony Kennedy, D.C.NPI 1700902988

Title

Owner/Ceo

Phone

(618) 310-1499

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Gerald Anthony Kennedy, D.C.

  • Chiropractor
  • Belleville, IL
  • NPI 1700902988
  NPD (past) Authorized official

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1104019140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 LEBANON AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622212466",
            "telephone_number": "618-310-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 LEBANON AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622212466",
            "telephone_number": "618-310-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "618-310-1499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNERS NPI",
            "identifier": "1700902988",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyecare Management, LLC
• Eyecare Management, LLC
• Eyecare of Illinois LTD
• Morgan Fahey-Vornberg, D.O.
• Kiley M Faires, FNP-BC
• Family Hospice of Belleville Area
• Enrico T. Farinas, MD
• Forrest M Farr, DDS
• Robert J Fast, DC
• Snowber Fazili, DMD

• Chiropractor in Belleville, IL
• Providers in Belleville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.