Individual provider Active NPI

Dean Richard Kenny, DC

  • Chiropractor
  • High Point, NC
National Provider Identifier
1770699746
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1054 Issued in NC
Practice address
2400 S Main St
High Point, NC 27263-1945
Phone
(336) 889-3831
Fax
(336) 889-7269
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1054 NC Primary

Addresses

Primary practice location

2400 S Main St
High Point, NC 27263-1945

Mailing address

PO Box 2452
2400 S Main St
High Point, NC 27263-1945
Phone (336) 889-3831

Other identifiers 2

IdentifierTypeStateIssuer
08557OtherNCBCBS
3105OtherNCPARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000251 NC Practitioner - Chiropractic 0244205037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2400 S Main St
High Point, NC 27263-1945
Phone (336) 889-3831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1054NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Kenny Clinic of Chiropractic PA Chiropractor CurrentSince Oct 1, 1986 Accepting new patients
Kenny Clinic of Chiropractic, P.a. Past Accepting new patients

Locations

2400 S Main St
High Point, NC 27263
Phone (336) 889-3831

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1770699746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2452",
            "address_2": "2400 S MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272631945",
            "telephone_number": "336-889-3831",
            "fax_number": "336-889-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272631945",
            "telephone_number": "336-889-3831",
            "fax_number": "336-889-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "DEAN",
        "middle_name": "RICHARD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08557",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "3105",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.