Organization Active NPI

Kenny Chiropractic Inc

  • Sports Physician Chiropractor
  • Danville, CA
National Provider Identifier
1902129505
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC25578 Issued in CA
Legal business name
KENNY CHIROPRACTIC INC
Practice address
185 Front St Ste 107
Danville, CA 94526-3323
Phone
(925) 838-9355
Fax
(925) 838-9359
NPI assigned
Mar 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Jerry M Kenny, DCNPI 1316087646
Title
Ceo
Phone
(925) 838-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X DC25578 CA Primary

Addresses

Primary practice location

185 Front St Ste 107
Danville, CA 94526-3323

Mailing address

185 Front St Ste 107
Danville, CA 94526-3323
Phone (925) 838-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140829000165 CA Part B Supplier - Clinic/Group Practice 4981822129 Receives reassigned benefits from 1 practitioner
Practice locations: Danville, CA; Vallejo, CA

National Provider Directory

National Provider Directory

Locations

185 Front St
Ste 107
Danville, CA 94526
Phone (925) 838-9355

3418 Sonoma Blvd
Vallejo, CA 94590
Phone (707) 552-2252

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1902129505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 FRONT ST STE 107",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263323",
            "telephone_number": "925-838-9355",
            "fax_number": "925-838-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 FRONT ST STE 107",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263323",
            "telephone_number": "925-838-9355",
            "fax_number": "925-838-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-838-9355",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC25578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.