Active NPI
Jason Atkins Kennedy, DC
- Chiropractor
- Richmond, VA
National Provider Identifier
1760476642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104555852
- Practice address
- 909 Hioaks Rd
Ste. H
Richmond, VA 23225-4038 - Phone
- (804) 565-9551
- Fax
- (804) 565-9552
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104555852 | VA | Primary |
Addresses
Primary practice location
909 Hioaks Rd
Ste. H
Richmond, VA 23225-4038
Mailing address
111 W VA Beach Blvd
Norfolk, VA 23510-2005
Phone (757) 623-7776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1760476642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W VA BEACH BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235102005",
"telephone_number": "757-623-7776",
"fax_number": "757-623-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 HIOAKS RD",
"address_2": "STE. H",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254038",
"telephone_number": "804-565-9551",
"fax_number": "804-565-9552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "JASON",
"middle_name": "ATKINS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104555852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.