Daniel Richard Kenagy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14017 Issued in OR

Practice address

4062 Arleta Ave NE
Keizer, OR 97303-4758

Phone

(503) 390-2271

NPI assigned

Aug 13, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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 and National Provider Directory roles.

• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Medicare reassignment NPD
• Salem Health West Valley

  • Critical Access Hospital
  • Dallas, OR
  • NPI 1245237486
  Medicare reassignment NPD
• Salem Health

  • Durable Medical Equipment & Medical Supplies
  • Keizer, OR
  • NPI 1487434775
  NPD
• Salem Health

  • Family Medicine Physician
  • Woodburn, OR
  • NPI 1578112066
  NPD

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1699022301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 ARLETA AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034758",
            "telephone_number": "503-390-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 ARLETA AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034758",
            "telephone_number": "503-390-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENAGY",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "14017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keizer River Operations, LLC (The Arbor at Avamere Court)
• Keizer Rural Fire Protection Dist (Keizer Fire District)
• Keizer Vision Source PC (Keizer Vision Clinic)
• Michael Wilford Kelber, MD
• Chelsea Kellogg
• Brendan Charles Kennedy, CADC II, BS
• Erum S Khaleeq
• Caroline Louise King-Widdall, M.D.
• Katie King, CADC I
• Kites Pediatrics Occupational Therapy, Inc.

• Speech-Language Pathologist in Keizer, OR
• Providers in Keizer, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.