Jason Dean Kennedy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31133 Issued in CA

Practice address

1011 W la Palma Ave
Suite 101
Anaheim, CA 92801-3661

Phone

(714) 758-8777

Fax

(714) 758-9036

NPI assigned

Feb 18, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

California University of Science and Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heresco Chiropractic and Associates, PCGroup PAC ID 9436049293, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Heresco Chiropractic and Associates PC

  • Chiropractor
  • Corvallis, OR
  • NPI 1326045626
  Medicare reassignment Care Compare group NPD
• A C Urgent Care Inc

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1114457538

  Chiropractor

  NPD (past)
• Clover Spine and Joint Center LLC

  • Chiropractor
  • Anaheim, CA
  • NPI 1912654575
  NPD (past)

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1528207362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W LA PALMA AVE",
            "address_2": "SUITE 101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013661",
            "telephone_number": "714-758-8777",
            "fax_number": "714-758-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W LA PALMA AVE",
            "address_2": "SUITE 101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013661",
            "telephone_number": "714-758-8777",
            "fax_number": "714-758-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JASON",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Nikita Kemp
• Bella Rose Kennedy-Cummings
• Brigid Kennedy
• Brooke Susanne Kennedy
• Erin Kennedy
• Mary Panahi Kennedy, MA
• Nigel L. Kent, MD
• Penelope J. Kent, MD
• Charles D Kenyon, MD
• Samantha Keosann

• Chiropractor in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.