Individual provider Active NPI

James Andrew Kendel, D.C.

  • Chiropractor
  • Medina, OH
National Provider Identifier
1194794339
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
943 Issued in OH
Practice address
5019 Victor Dr
Medina, OH 44256-9624
Phone
(330) 722-7709
Fax
(330) 723-0850
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 943 OH Primary

Addresses

Primary practice location

5019 Victor Dr
Medina, OH 44256-9624

Mailing address

5019 Victor Dr
Medina, OH 44256-9624
Phone (330) 722-7709

Other identifiers 1

IdentifierTypeStateIssuer
0498108MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000001 OH Practitioner - Chiropractic 5597810614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medina Family Chiropractic Center IncGroup PAC ID 9335294461, 2 clinicians

Practice addresses (Care Compare)

5019 Victor Dr
Suite a
Medina, OH 44256-8237
Phone 3307227709225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
943OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Medina Family Chiropractic Center Inc. Chiropractor CurrentSince Jan 1, 2000 Accepting new patients

Locations

5019 Victor Dr
Ste A
Medina, OH 44256
Phone (330) 722-7709

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1194794339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 VICTOR DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569624",
            "telephone_number": "330-722-7709",
            "fax_number": "330-723-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 VICTOR DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569624",
            "telephone_number": "330-722-7709",
            "fax_number": "330-723-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDEL",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0498108",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.

Verify at the official NPI Registry.