Individual provider Active NPI

Armen R Kendig, DC

  • Chiropractor
  • Pine Grove, CA
National Provider Identifier
1508946575
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13430 Issued in CA
Practice address
19881 Highway 88
Suite 1
Pine Grove, CA 95665
Phone
(209) 296-1122
Fax
(209) 296-1142
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13430 CA Primary

Addresses

Primary practice location

19881 Highway 88
Suite 1
Pine Grove, CA 95665

Mailing address

19881 Highway 88
Suite 1
Pine Grove, CA 95665
Phone (209) 296-1122

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13430CAMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kendig Chiropractic, Inc Chiropractor CurrentSince Jan 6, 2013 Accepting new patients

Locations

19881 State Highway 88
Ste 1
Pine Grove, CA 95665
Phone (209) 296-1122

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1508946575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19881 HIGHWAY 88",
            "address_2": "SUITE 1",
            "city": "PINE GROVE",
            "state": "CA",
            "postal_code": "95665",
            "telephone_number": "209-296-1122",
            "fax_number": "209-296-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19881 HIGHWAY 88",
            "address_2": "SUITE 1",
            "city": "PINE GROVE",
            "state": "CA",
            "postal_code": "95665",
            "telephone_number": "209-296-1122",
            "fax_number": "209-296-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDIG",
        "first_name": "ARMEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.