NPIMap

Organization Active NPI

Kenwood Family Chiropractic LLC

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1811027295
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3464 Issued in OH
Legal business name
KENWOOD FAMILY CHIROPRACTIC LLC
Practice address
6934 Montgomery Rd
Cincinnati, OH 45236-3821
Phone
(513) 792-0070
Fax
(513) 792-0466
NPI assigned
Mar 6, 2007
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Karla Talledo
Title
Billing Specialist
Phone
(513) 792-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3464 OH Primary

Addresses

Primary practice location

6934 Montgomery Rd
Cincinnati, OH 45236-3821

Mailing address

3700 Garden CT
Grove City, OH 43123-2906
Phone (513) 792-0070

Other identifiers 1

IdentifierTypeStateIssuer
000000350968OtherOHANTHEM BCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1811027295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 GARDEN CT",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232906",
            "telephone_number": "513-792-0070",
            "fax_number": "513-792-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452363821",
            "telephone_number": "513-792-0070",
            "fax_number": "513-792-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENWOOD FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "TALLEDO",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "513-792-0070"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000350968",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.