Kris K Kennedy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28686 Issued in CA

Practice address

11 Mareblu
120
Aliso Viejo, CA 92656-3066

Phone

(949) 305-1790

Fax

(949) 305-1801

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kennedy Chiropractic Health and Wellness Center Inc

  • Chiropractor
  • Aliso Viejo, CA
  • NPI 1083845184
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1700943560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 ROCKFIELD BLVD",
            "address_2": "STE A200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926186705",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAREBLU",
            "address_2": "120",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563066",
            "telephone_number": "949-305-1790",
            "fax_number": "949-305-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KRIS",
        "middle_name": "K",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10783",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0286860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Kaye, MD
• Deeba Freshta Kazempoor, FNP
• Kempff Speech Pathology, Professional Corporation (Salt and Sun Speech Therapy)
• Kara M Kempff, MS CCC SLP
• Kennedy Chiropractic Health and Wellness Center Inc
• Kenneth P Martinez MD a Medical Corp (Neurology & Pain Specialty Center)
• Kenneth Q Hoang DC a Chiropractic Corporation (Grannis Chiropractic Clinic)
• Elizah D Khan, LMT
• Salman Khanaki, D.C.
• Sina Khaneki, M.D.

• Chiropractor in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.