Active NPI
William Barton Kennedy Jr., D.C.
- Sports Physician Chiropractor
- Houston, TX
National Provider Identifier
1285803874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 4340
- Practice address
- 14690 Memorial Dr
Houston, TX 77079-7518 - Phone
- (281) 531-7465
- Fax
- (281) 531-7657
- NPI assigned
- Feb 27, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10809 | TX | |
| Sports Physician Chiropractor | 111NS0005X | 4340 | TX | Primary |
Addresses
Primary practice location
14690 Memorial Dr
Houston, TX 77079-7518
Mailing address
14690 Memorial Dr
Houston, TX 77079-7518
Phone (281) 531-7465
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4340 | TX | MD | Behavioral Analyst |
| 10809 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1285803874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14690 MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770797518",
"telephone_number": "281-531-7465",
"fax_number": "281-531-7657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14690 MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770797518",
"telephone_number": "281-531-7465",
"fax_number": "281-531-7657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "WILLIAM",
"middle_name": "BARTON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-27",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10809",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "4340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.