Active NPI
Leo Michael Kenney, D.C.
- Orthopedic Chiropractor
- North Conway, NH
National Provider Identifier
1720091994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 128-0655-0184A
- Practice address
- 3316 White Mountain Highway
North Conway, NH 03860-5189 - Phone
- (603) 356-2471
- Fax
- (603) 356-8759
- NPI assigned
- Aug 15, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 128-0655-0184A | NH | Primary |
| Orthopedic Chiropractor | 111NX0800X | 565 | CT | |
| Orthopedic Chiropractor | 111NX0800X | 896288 | MA |
Addresses
Primary practice location
3316 White Mountain Highway
North Conway, NH 03860-5189
Mailing address
PO Box 3
North Conway, NH 03860-0003
Phone (603) 356-2471
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0506455Y0NH01 | Other | NH | ANTHEM BLUE CROSS |
| T86224 | Other | NH | HARVARD PILGRIM |
| 9000306 | Other | NH | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050622000921 | NH | Practitioner - Chiropractic | 5193760908 | Practice locations: North Conway, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3316 White Mountain Hwy
North Conway, NH 03860-5189
Phone (603) 356-2471
PO Box
Suite 3
North Conway, NH 03860
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 565 | CT | MD | Orthopedic Chiropractor |
| 896288 | MA | MD | Orthopedic Chiropractor |
| 128-0655-0184A | NH | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Conway Chiropractic Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- North Conway, NH
- NPI 1114335569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720091994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038600003",
"telephone_number": "603-356-2471",
"fax_number": "603-356-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3316 WHITE MOUNTAIN HIGHWAY",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038605189",
"telephone_number": "603-356-2471",
"fax_number": "603-356-8759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "LEO",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "NH",
"license": "128-0655-0184A",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CT",
"license": "565",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "MA",
"license": "896288",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "0506455Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "T86224",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9000306",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Conway, NH
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.
- 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.