Individual provider Active NPI

Robbie Joseph Kennedy, D.C

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1497906184
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5156 Issued in KY
Practice address
340 Legion Dr Ste 2
Lexington, KY 40504-2716
Phone
(859) 275-1962
Fax
(859) 275-1966
NPI assigned
Oct 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5156 KY Primary

Addresses

Primary practice location

340 Legion Dr Ste 2
Lexington, KY 40504-2716

Mailing address

185 Pasadena Dr
Ste 110
Lexington, KY 40503-2969
Phone (859) 275-1962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090306000396 KY Practitioner - Chiropractic 3173561446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1030 S Broadway
Suite 6
Lexington, KY 40504-2681
Phone (859) 275-1962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5156KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rob J Kennedy PLLC Chiropractor CurrentSince Apr 1, 2009 Accepting new patients
Eastern Iowa Chiropractic Centre, PC Chiropractor PastSince Jan 3, 1993 Accepting new patients
Fugere Enterprises Inc. Chiropractor Past Accepting new patients

Locations

340 Legion Dr
Ste 2
Lexington, KY 40504
Phone (859) 254-9401

427 Redding Rd
Lexington, KY 40517
Phone (859) 245-2000

185 Pasadena Dr
Ste 110
Lexington, KY 40503
Phone (859) 275-1962

1030 S Broadway
Ste 6
Lexington, KY 40504
Phone (859) 275-1962

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1497906184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PASADENA DR",
            "address_2": "STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032969",
            "telephone_number": "859-275-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 LEGION DR STE 2",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042716",
            "telephone_number": "859-275-1962",
            "fax_number": "859-275-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ROBBIE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.