Individual provider Active NPI

Scott Joseph Kenny, DC

  • Chiropractor
  • New Lenox, IL
National Provider Identifier
1679578348
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-076110 Issued in IL
Practice address
2499 E Joliet Hwy
New Lenox, IL 60451-2592
Phone
(815) 717-8355
Fax
(815) 717-8416
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-076110 IL Primary

Addresses

Primary practice location

2499 E Joliet Hwy
New Lenox, IL 60451-2592

Mailing address

2499 E Joliet Hwy
New Lenox, IL 60451-2592
Phone (815) 717-8355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110208000699 IL Practitioner - Chiropractic 5890736565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Physical Medicine, LLCGroup PAC ID 4385824366, 3 clinicians

Practice addresses (Care Compare)

2499 E Joliet Hwy
New Lenox, IL 60451-2592
Phone (815) 717-8355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-076110ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Physical Medicine, LLC Chiropractor CurrentSince Sep 1, 2010 Accepting new patients
Integrated Physical Medicine of Naperville PLLC Chiropractor PastSince Mar 1, 2020 Accepting new patients
Roselle Service Company LLC Chiropractor PastSince Feb 4, 2017 Accepting new patients

Locations

2499 E Joliet Hwy
New Lenox, IL 60451
Phone (815) 462-9420

Organizations & group practices 3

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1679578348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 E JOLIET HWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512592",
            "telephone_number": "815-717-8355",
            "fax_number": "815-717-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 E JOLIET HWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512592",
            "telephone_number": "815-717-8355",
            "fax_number": "815-717-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "SCOTT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-076110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.