Kenneth J Campo DC, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008626 Issued in NY

Legal business name

KENNETH J CAMPO DC, PC

Practice address

1 Hanson PL Ste 709
Brooklyn, NY 11243-2907

Phone

(718) 965-2100

Fax

(718) 965-2333

NPI assigned

Jun 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth J Campo, DCNPI 1528197506

Title

President

Phone

(718) 965-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth John Campo, D.C.

  • Sports Physician Chiropractor
  • New York, NY
  • NPI 1528197506
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1376063115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HANSON PL STE 709",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112432907",
            "telephone_number": "718-965-2100",
            "fax_number": "718-965-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HANSON PL STE 709",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112432907",
            "telephone_number": "718-965-2100",
            "fax_number": "718-965-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J CAMPO DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "CAMPO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-965-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Kennedy
• Taylor L Kennedy, MPH, PA-C
• Thomas Kennedy, DO
• Tiffany Rochel Kennedy
• Sarah Kenner
• Gloria Denise Kenney, DDS
• Aquila Kenny
• Haley-Jo Kenny, M.S. CCC-SLP TSSLD
• Irena Kenny
• Jordana Kenny, LCSW

• Chiropractor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.

Verify at the official NPI Registry.