Chiro Wellness Center LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1795 Issued in AL

Legal business name

CHIRO WELLNESS CENTER LLC

Practice address

1951 Hoover CT
Suite 101
Hoover, AL 35226-3606

Phone

(205) 979-5692

Fax

(205) 979-3697

NPI assigned

Aug 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Kennedy, DCNPI 1629113725

Title

Sole Member

Phone

(205) 979-5692

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

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

• John Kennedy, D.C.

  • Sports Physician Chiropractor
  • Hoover, AL
  • NPI 1629113725
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1144501495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 HOOVER CT",
            "address_2": "SUITE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352263606",
            "telephone_number": "205-979-5692",
            "fax_number": "205-979-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 HOOVER CT",
            "address_2": "SUITE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352263606",
            "telephone_number": "205-979-5692",
            "fax_number": "205-979-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "205-979-5692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "AL",
            "license": "1795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Hoover, AL
• Providers in Hoover, AL by specialty
• Sports Physician Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.