Organization Active NPI

Rob J Kennedy PLLC

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1679715684
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5156 Issued in KY
Legal business name
ROB J KENNEDY PLLC
Practice address
185 Pasadena Dr
Ste #110
Lexington, KY 40503-2969
Phone
(859) 275-1962
Fax
(859) 275-1966
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Rob Joseph Kennedy, D.C
Title
Chiropractor/Owner
Phone
(859) 275-1962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5156 KY Primary

Addresses

Primary practice location

185 Pasadena Dr
Ste #110
Lexington, KY 40503-2969

Mailing address

185 Pasadena Drive
Ste #110
Lexington, KY 40503
Phone (859) 275-1962

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090306000434 KY Part B Supplier - Clinic/Group Practice 1355407891 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

1030 S Broadway
Ste 6
Lexington, KY 40504
Phone (859) 275-1962

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1679715684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PASADENA DRIVE",
            "address_2": "STE #110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-275-1962",
            "fax_number": "859-275-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 PASADENA DR",
            "address_2": "STE #110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032969",
            "telephone_number": "859-275-1962",
            "fax_number": "859-275-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROB J KENNEDY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "859-275-1962",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.