Kenneth L Farr, D. C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5281 Issued in AZ

Practice address

4455 E Broadway Rd #104
Mesa, AZ 85206

Phone

(408) 396-6000

Fax

(480) 396-9437

NPI assigned

Jul 10, 2006

Last updated

Oct 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1699709345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 E BROADWAY RD #104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "408-396-6000",
            "fax_number": "480-396-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 E BROADWAY RD #104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "408-396-6000",
            "fax_number": "480-396-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0943510",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Martin Farnsworth, DMD
• David J Farnsworth, D.C.
• Drew Mitchell Farnsworth, DMD
• Zachary Farnworth, DO
• Bradley L Farr, DDS
• R Keith Farr, DDS
• Stefan Brice Farrell, CNS, MSN
• Edward P Farretta
• Dana S Farris, MD
• Steven L Farris, M.D.

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.