Michael Walter Kenney, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5467 Issued in AZ

Practice address

20 S Power Rd Ste 102
Mesa, AZ 85206-5204

Phone

(480) 641-5516

Fax

(480) 641-9561

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kenney Chiropractic

  • Chiropractor
  • Mesa, AZ
  • NPI 1386827012
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1316961352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S POWER RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065204",
            "telephone_number": "480-641-5516",
            "fax_number": "480-641-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S POWER RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065204",
            "telephone_number": "480-641-5516",
            "fax_number": "480-641-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "MICHAEL",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "AZ 07085",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth D. Osorio, M.D., PLLC (Advanced Vein Center)
• Kenney Chiropractic
• Derek Michael Kenney, DC
• Jamie Kay Kenney, PH.D.
• Jessica Joy Kenney, RDH
• Kent W. Stapley, D.M.D, LLC
• McKenzie Rachel Kent
• William Brian Kentopp, PT,DPT, OCS
• Rebecca Kepner
• Emily Keranen, NMD

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.