Individual provider Active NPI

Travonya L Kenly, DC

  • Chiropractor
  • London, OH
National Provider Identifier
1831903673
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05419 Issued in OH
Practice address
139 S Main St
London, OH 43140-1440
Phone
(740) 852-1965
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-05419 OH Primary

Addresses

Primary practice location

139 S Main St
London, OH 43140-1440

Mailing address

139 S Main St
London, OH 43140-1440
Phone (740) 852-1965

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321000681 OH Practitioner - Chiropractic 7416479209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dwyer Chiropractic LLCGroup PAC ID 3476621780, 3 clinicians

Practice addresses (Care Compare)

139 S Main St
London, OH 43140-1440
Phone (740) 852-1965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dwyer Chiropractic LLC Chiropractor CurrentSince Feb 1, 2025 Accepting new patients

Locations

139 S Main St
London, OH 43140
Phone (740) 852-1965

Organizations & group practices 1

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": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1831903673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 S MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401440",
            "telephone_number": "740-852-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 S MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401440",
            "telephone_number": "740-852-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENLY",
        "first_name": "TRAVONYA",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.