Individual provider Active NPI

James F Kennell

  • Chiropractor
  • Boerne, TX
National Provider Identifier
1518030501
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TX 8054 Issued in TX
Practice address
115 Hwy 46 W
Boerne, TX 78006-9998
Phone
(830) 249-8900
Fax
(830) 249-8923
NPI assigned
Nov 16, 2006
Last updated
Jun 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 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 TX 8054 TX Primary

Addresses

Primary practice location

115 Hwy 46 W
Boerne, TX 78006-9998

Mailing address

215 W. Bandera
Suite 114 PMB 406
Boerne, TX 78006-9998
Phone (830) 249-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000562 TX Practitioner - Chiropractic 2567443922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kennell Family Chiropractic PAGroup PAC ID 3476724550, 2 clinicians

Practice addresses (Care Compare)

115 Hwy 46 W
Boerne, TX 78006-2842
Phone (830) 249-8900

215 W Bandera
Suite 114 PMB 406
Boerne, TX 78006-2842

215 W Bandera Rd
Suite 114
Boerne, TX 78006-2842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8054TXMDBehavioral Analyst
TX 8054TXMDChiropractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1518030501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W. BANDERA",
            "address_2": "SUITE 114 PMB 406",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069998",
            "telephone_number": "830-249-8900",
            "fax_number": "830-249-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HWY 46 W",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069998",
            "telephone_number": "830-249-8900",
            "fax_number": "830-249-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNELL",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "TX 8054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.