Kenneth P Gonoud, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X44531 Issued in NY

Practice address

4191 East Tremont Ave
Bronx, NY 10465

Phone

(718) 409-4086

Fax

(718) 892-3398

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1912045121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 EAST TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "715-409-4086",
            "fax_number": "718-892-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 EAST TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "718-409-4086",
            "fax_number": "718-892-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONOUD",
        "first_name": "KENNETH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X44531",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005767-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changlin Gong, M.D.
• Sudharsan Reddy Gongati
• Carlos A Gongora, MD
• Jordan Gonia, MD
• Zennao Vanessa Gonkate
• Karen Rianne Gonowrie
• Beronica E. Gonsalves, M.S. ED.
• Ro Gonsalves, M.D.
• Virgilio Gonzaga Jr., RN
• Maria Priscila Gonzales Ponciano, MRS. SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.