John Kennedy, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1795 Issued in AL

Practice address

1951 Hoover CT
Suite 101
Hoover, AL 35226-3606

Phone

(205) 979-5692

Fax

(205) 979-3697

NPI assigned

Feb 20, 2007

Last updated

Jul 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiro Wellness Center LLC

  • Sports Physician Chiropractor
  • Hoover, AL
  • NPI 1144501495
  Medicare reassignment NPD Authorized official
• John Kennedy DC PC

  • Sports Physician Chiropractor
  • Hoover, AL
  • NPI 1619090842
  Authorized official Same address or phone

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1629113725",
    "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": "205-979-6899"
        },
        {
            "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": {
        "last_name": "KENNEDY",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AL",
            "license": "1795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "271006696",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL PROVIDER NO.",
            "identifier": "11287",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kedros Counseling and Wellness LLC
• Kathleen Grace Kelley, REGISTERED NURSE
• Carlie Elizabeth Kelly
• Elizabeth Kelly, M.S., CCC-SLP
• Lindsay B. Kelmenson, MD
• Kevin Giadrosich MD PC
• Kevin M. Sims, DMD, Ms, PC
• Key Advantage Home Care LLC
• Nazia Noor Khan
• Noreen Khan

• Sports Physician Chiropractor in Hoover, AL
• Providers in Hoover, AL by specialty
• Sports Physician Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.