NPIMap

Organization Active NPI

John Kennedy DC PC

  • Sports Physician Chiropractor
  • Hoover, AL
National Provider Identifier
1619090842
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1795 Issued in AL
Legal business name
JOHN KENNEDY DC PC
Practice address
1951 Hoover CT
Suite 101
Hoover, AL 35226-3606
Phone
(205) 979-5692
Fax
(205) 979-3697
NPI assigned
Apr 10, 2007
Last updated
Jun 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Dr. John Kennedy, DCNPI 1629113725
Title
Doctor of Chiropractic
Phone
(205) 979-5692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1795 AL Primary

Addresses

Primary practice location

1951 Hoover CT
Suite 101
Hoover, AL 35226-3606

Mailing address

1951 Hoover CT
Suite 101
Hoover, AL 35226-3606
Phone (205) 979-5692

Other identifiers 1

IdentifierTypeStateIssuer
51511287OtherALBCBS AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1619090842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 HOOVER CT",
            "address_2": "SUITE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352263606",
            "telephone_number": "205-979-5692",
            "fax_number": "205-979-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 HOOVER CT",
            "address_2": "SUITE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352263606",
            "telephone_number": "205-979-5692",
            "fax_number": "205-979-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KENNEDY DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "205-979-5692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AL",
            "license": "1795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51511287",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.