Active NPI
Robert Charles Kennedy, D.C.
- Chiropractor
- Haleiwa, HI
National Provider Identifier
1679671895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC882
- Practice address
- 59-106 Paumalu PL
Haleiwa, HI 96712-9752 - Phone
- (808) 638-0018
- Fax
- (808) 638-5625
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DC882 | HI | Primary |
Addresses
Primary practice location
59-106 Paumalu PL
Haleiwa, HI 96712-9752
Mailing address
59-106 Paumalu PL
Haleiwa, HI 96712-9752
Phone (808) 638-0018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000254292 | Other | HI | HMSA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 882 | HI | MD | Marriage & Family Therapist |
| DC882 | HI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679671895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59-106 PAUMALU PL",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967129752",
"telephone_number": "808-638-0018",
"fax_number": "808-638-5625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59-106 PAUMALU PL",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967129752",
"telephone_number": "808-638-0018",
"fax_number": "808-638-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "DC882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000254292",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Haleiwa, HI
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.