Individual provider Active NPI

Kenneth Marshal McLeod, D.C.

  • Chiropractor
  • Geneva, OH
National Provider Identifier
1205031176
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3882 Issued in OH
Practice address
23 S Forest St
Geneva, OH 44041-1620
Phone
(440) 466-0860
Fax
(440) 466-0710
NPI assigned
Jun 19, 2007
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3882 OH Primary

Addresses

Primary practice location

23 S Forest St
Geneva, OH 44041-1620

Mailing address

668 S Eagle St
Geneva, OH 44041-1524
Phone (440) 813-0285

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000104 OH Practitioner - Chiropractic 6608955752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Geneva Spinal Health and Pain Management L.L.C.Group PAC ID 9335228493, 2 clinicians

Practice addresses (Care Compare)

23 S Forest St
Geneva, OH 44041-1620
Phone (440) 466-0860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva Spinal Health and Pain Management L.L.C. Chiropractor CurrentSince Apr 24, 2008 Accepting new patients

Locations

23 S Forest St
Geneva, OH 44041
Phone (440) 466-0860

773 S Broadway
Geneva, OH 44041
Phone (440) 466-0860

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1205031176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 S EAGLE ST",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411524",
            "telephone_number": "440-813-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S FOREST ST",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411620",
            "telephone_number": "440-466-0860",
            "fax_number": "440-466-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "KENNETH",
        "middle_name": "MARSHAL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.