NPIMap

Organization Active NPI

Kenul Chiropractic PLLC

  • Chiropractor
  • Medford, NY
National Provider Identifier
1720604127
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KENUL CHIROPRACTIC PLLC
Practice address
987 N Ocean Ave
Medford, NY 11763-3532
Phone
(631) 758-6262
NPI assigned
Jun 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Dr. Dillon Kenul, DCNPI 1548802580
Title
Owner
Phone
(631) 332-8491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

987 N Ocean Ave
Medford, NY 11763-3532

Mailing address

987 N Ocean Ave
Medford, NY 11763-3532

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1720604127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 N OCEAN AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 N OCEAN AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633532",
            "telephone_number": "631-758-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENUL CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "KENUL",
        "authorized_official_first_name": "DILLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-332-8491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.