Active NPI
Daniel Allen Kennedy, D.C.
- Chiropractor
- Cherokee, IA
National Provider Identifier
1114165016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007166
- Practice address
- 701 S 2ND St
Cherokee, IA 51012-2178 - Phone
- (712) 225-2423
- NPI assigned
- Jan 30, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 007166 | IA | Primary |
Addresses
Primary practice location
701 S 2ND St
Cherokee, IA 51012-2178
Mailing address
701 S 2ND St
Cherokee, IA 51012-2178
Phone (712) 225-2423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007166 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090619000285 | IA | Practitioner - Chiropractic | 4789735416 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
701 S 2ND St
Cherokee, IA 51012-2178
Phone (712) 225-2423
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Chiropractic P.C. | Chiropractor | Current | Accepting new patients |
Locations
701 S 2nd St
Cherokee, IA 51012
Phone (712) 225-2423
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 and National Provider Directory roles.
-
- Chiropractor
- Cherokee, IA
- NPI 1619107372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1114165016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S 2ND ST",
"city": "CHEROKEE",
"state": "IA",
"postal_code": "510122178",
"telephone_number": "712-225-2423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S 2ND ST",
"city": "CHEROKEE",
"state": "IA",
"postal_code": "510122178",
"telephone_number": "712-225-2423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "DANIEL",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-30",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007166",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherokee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.