Active NPI
Robert M Kennedy, DC
- Chiropractor
- Long Beach, CA
National Provider Identifier
1629199203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC18477
- Practice address
- 6557 E Pacific Coast Hwy # H-10
Long Beach, CA 90803-4202 - Phone
- (562) 430-8501
- Fax
- (562) 430-8591
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC18477 | CA | Primary |
Addresses
Primary practice location
6557 E Pacific Coast Hwy # H-10
Long Beach, CA 90803-4202
Mailing address
11022 Winners Cir Ste 107
Los Alamitos, CA 90720-2883
Phone (562) 430-8501
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC18477 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Mark Kennedy Chiropractic Inc | Past | Accepting new patients | |
| Pchchiro Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Radiology Chiropractor
- Long Beach, CA
- NPI 1093838591
-
- Chiropractor
- Long Beach, CA
- NPI 1285059279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629199203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11022 WINNERS CIR STE 107",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202883",
"telephone_number": "562-430-8501",
"fax_number": "562-430-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6557 E PACIFIC COAST HWY # H-10",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908034202",
"telephone_number": "562-430-8501",
"fax_number": "562-430-8591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC18477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.