Active NPI
Jeffrey I Kennis, D.C.
- Chiropractor
- Boston, MA
National Provider Identifier
1275577306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 563
- Practice address
- 205 Commercial St
Boston, MA 02109-1304 - Phone
- (617) 720-2329
- Fax
- (617) 720-2229
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 563 | MA | Primary |
Addresses
Primary practice location
205 Commercial St
Boston, MA 02109-1304
Mailing address
205 Commercial St
Boston, MA 02109-1304
Phone (617) 720-2329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060425000661 | MA | Practitioner - Chiropractic | 4789694464 | Practice locations: Boston, MA |
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": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275577306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 COMMERCIAL ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021091304",
"telephone_number": "617-720-2329",
"fax_number": "617-720-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 COMMERCIAL ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021091304",
"telephone_number": "617-720-2329",
"fax_number": "617-720-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNIS",
"first_name": "JEFFREY",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.