Active NPI
Kevin Joe Lenderman, D.C.
- Chiropractor
- Jennings, LA
National Provider Identifier
1235260324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1121
- Practice address
- 15375 Highway 26
Jennings, LA 70546-3101 - Phone
- (337) 824-8200
- Fax
- (337) 824-8277
- NPI assigned
- Mar 8, 2007
- 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 | 1121 | LA | Primary |
Addresses
Primary practice location
15375 Highway 26
Jennings, LA 70546-3101
Mailing address
15375 Highway 26
Jennings, LA 70546-3101
Phone (337) 824-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040927000062 | LA | Practitioner - Chiropractic | 9638148802 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1121 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1235260324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15375 HIGHWAY 26",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705463101",
"telephone_number": "337-824-8200",
"fax_number": "337-824-8277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15375 HIGHWAY 26",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705463101",
"telephone_number": "337-824-8200",
"fax_number": "337-824-8277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENDERMAN",
"first_name": "KEVIN",
"middle_name": "JOE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jennings, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.