Active NPI
Kenyon Darnell Hackworth, D.C.
- Chiropractor
- Springdale, OH
National Provider Identifier
1164528196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3360
- Practice address
- 11576 Springfield Pike
Springdale, OH 45246-3527 - Phone
- (513) 242-6472
- Fax
- (513) 242-2196
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 3360 | OH | Primary |
Addresses
Primary practice location
11576 Springfield Pike
Springdale, OH 45246-3527
Mailing address
11576 Springfield Pike
Springdale, OH 45246-3527
Phone (513) 242-6472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457654400000",
"number": "1164528196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11576 SPRINGFIELD PIKE",
"city": "SPRINGDALE",
"state": "OH",
"postal_code": "452463527",
"telephone_number": "513-242-6472",
"fax_number": "513-242-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11576 SPRINGFIELD PIKE",
"city": "SPRINGDALE",
"state": "OH",
"postal_code": "452463527",
"telephone_number": "513-242-6472",
"fax_number": "513-242-2196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKWORTH",
"first_name": "KENYON",
"middle_name": "DARNELL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2016-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springdale, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.