Individual provider Active NPI

Kevin Lennehan, DC

  • Chiropractor
  • Newington, CT
National Provider Identifier
1508404286
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2173 Issued in CT
Practice address
300 Alumni Rd
Newington, CT 06111-1868
Phone
(860) 578-2423
NPI assigned
Dec 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2173 CT Primary

Addresses

Primary practice location

300 Alumni Rd
Newington, CT 06111-1868

Mailing address

17 School St
Berlin, CT 06037-3162
Phone (860) 810-5382

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

LicenseStateTypeSpecialty
2173CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiropractic LLC Chiropractor CurrentSince Feb 23, 2020 Accepting new patients

Locations

300 Alumni Rd
Newington, CT 06111
Phone (860) 578-2423

Organizations & group practices 1

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": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1508404286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SCHOOL ST",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060373162",
            "telephone_number": "860-810-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ALUMNI RD",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111868",
            "telephone_number": "860-578-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNEHAN",
        "first_name": "KEVIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.