Kanoa Pornelos-King, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

965 Issued in NH

Practice address

91A N State St
Concord, NH 03301-4334

Phone

(603) 724-2297

NPI assigned

Dec 23, 2014

Sex

Male

Sole proprietor

No

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 NH

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Health Spine and Sport TherapyGroup PAC ID 0244491710, 5 clinicians

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.

• Performance Health Spine & Sport Therapy

  • Chiropractor
  • Concord, NH
  • NPI 1205100096
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1902294036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91A N STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014334",
            "telephone_number": "603-724-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91A N STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014334",
            "telephone_number": "603-724-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORNELOS-KING",
        "first_name": "KANOA",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-23",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reid Poosikian
• Sanda M Popa, PA-C
• Timothy Lee Popovich, MS, RD, LD
• Sidney Mitchell Poret, M.D.
• Todd Michael Poret, M.D.
• Roclyn Renee Porter, LMFT, MS
• Shannan Post
• Becky Lyn Potter
• Kenneth E Potter, LICSW
• Jaclyn Poutre

• Chiropractor in Concord, NH
• Providers in Concord, NH by specialty
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.