Michael Clarkson Kennedy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1096 Issued in AZ

Practice address

7730 E McDowell Rd
Suite # 107
Scottsdale, AZ 85257-3772

Phone

(480) 949-0600

Fax

(480) 949-6670

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michael Kennedy, D.C., P.C.

  • Rehabilitation Chiropractor
  • Scottsdale, AZ
  • NPI 1043429822
  Medicare reassignment NPD Authorized official
• Southwest Multicare II

  • Rehabilitation Chiropractor
  • Scottsdale, AZ
  • NPI 1639338924
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831285899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 E MCDOWELL RD",
            "address_2": "SUITE # 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573772",
            "telephone_number": "480-949-0600",
            "fax_number": "480-949-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 E MCDOWELL RD",
            "address_2": "SUITE # 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573772",
            "telephone_number": "480-949-0600",
            "fax_number": "480-949-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MICHAEL",
        "middle_name": "CLARKSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "1096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Anne Kendall, SLP
• Abigail Noelle Kennedy, MD
• Amy Darlene Kennedy, M.D.
• Elizabeth Kennedy
• Kelley Dale Kennedy, M.D.
• Stephanie J Kennedy, PHARMD
• Wayne James Kennedy, LPC
• Allison Kennelly, SLP
• Kenneth C Cable MD PLLC
• Kenneth J. Ransom, MD, PLC

• Chiropractor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Chiropractor in Arizona

• 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.

Verify at the official NPI Registry.