Organization Active NPI

Kennell Family Chiropractic PA

  • Chiropractor
  • Boerne, TX
National Provider Identifier
1124317706
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TX 8054 Issued in TX
Legal business name
KENNELL FAMILY CHIROPRACTIC PA
Practice address
115 Hwy 46 West
Boerne, TX 78006-2842
Phone
(830) 249-8900
Fax
(830) 249-8923
NPI assigned
Apr 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Dr. James F Kennell, DCNPI 1518030501
Title
Owner
Phone
(830) 249-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X TX 8054 TX Primary

Addresses

Primary practice location

115 Hwy 46 West
Boerne, TX 78006-2842

Mailing address

215 W Bandera Rd Ste 114
PMB 406
Boerne, TX 78006-2842
Phone (830) 249-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110921000432 TX Part B Supplier - Clinic/Group Practice 3476724550 Receives reassigned benefits from 2 practitioners
Practice locations: Boerne, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1124317706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W BANDERA RD STE 114",
            "address_2": "PMB 406",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062842",
            "telephone_number": "830-249-8900",
            "fax_number": "830-249-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HWY 46 WEST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062842",
            "telephone_number": "830-249-8900",
            "fax_number": "830-249-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNELL FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "KENNELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-249-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "TX 8054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.