McKenna Family Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009822 Issued in NY

Legal business name

MCKENNA FAMILY CHIROPRACTIC P.C.

Practice address

604 Fifth Ave
Pelham, NY 10803-3704

Phone

(914) 738-4460

Fax

(914) 738-6299

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William P McKenna, D.C.NPI 1801931621

Title

Owner

Phone

(914) 738-4460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William P McKenna, D.C.

  • Chiropractor
  • Pelham, NY
  • NPI 1801931621
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1891948345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108033704",
            "telephone_number": "914-738-4460",
            "fax_number": "914-738-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108033704",
            "telephone_number": "914-738-4460",
            "fax_number": "914-738-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENNA FAMILY CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-738-4460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodianne Materasso, MSED
• Grace Andree Mattheson, MSED, SDL
• Caitlin Alice Mattina, RD
• James Joseph McCarthy, RPH
• Frankie-Ann McCauley, PT
• William P McKenna, D.C.
• Alessandra Miceli
• Elena Michalak
• Montefiore New Rochelle Hospital
• Alice Tang Moy, RPH

• Chiropractor in Pelham, NY
• Providers in Pelham, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.