Michael H. Kennis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X005546 Issued in NY

Practice address

239 S Buckhout St
Irvington, NY 10533-2208

Phone

(914) 231-7691

NPI assigned

Apr 3, 2007

Last updated

Aug 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1114048550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 S BUCKHOUT ST",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105332208",
            "telephone_number": "914-231-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 S BUCKHOUT ST",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105332208",
            "telephone_number": "914-231-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNIS",
        "first_name": "MICHAEL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005546",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "030852",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS43509",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LIC #",
            "identifier": "X005546",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aurrela Juncaj
• Lynne E Kalvin, LMSW
• Adrienne W. Katzow, PHD
• Jaspreet Kaur
• Kristina Marie Kavey, O.T
• Kimberly E Kleinman, PSYD
• Rochelle Langer, SEIT, ET
• Nicholas W Lawson, LCSW
• Lawrence Lewis
• Joanne Elizabeth Loeb, PHD.

• Chiropractor in Irvington, NY
• Providers in Irvington, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.