Kenneth Robert Haycock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3515 Issued in OH

Practice address

276 Federal Ave NW
Massillon, OH 44647-5469

Phone

(330) 833-2085

Fax

(330) 833-2067

NPI assigned

Jul 25, 2006

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Health Alternatives, Inc.Group PAC ID 8921065509, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Modern Health Alternatives, Inc.

  • Chiropractor
  • Massillon, OH
  • NPI 1154491389
  Medicare reassignment Care Compare group
• Canton Chiropractic Center

  • Chiropractor
  • Canton, OH
  • NPI 1356681902
  NPD (past)
• Dan G Tubbs

  • Chiropractor
  • Cuyahoga Falls, OH
  • NPI 1578604047
  NPD (past)
• Mid States Chiropractic of Euclid Road Health Care

  • Chiropractor
  • Willoughby, OH
  • NPI 1881635829
  NPD (past)
• Tubbs Chiropractic LLC

  • Chiropractor
  • Cuyahoga Falls, OH
  • NPI 1922658434
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1972526432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 FEDERAL AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446475469",
            "telephone_number": "330-833-2085",
            "fax_number": "330-833-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 FEDERAL AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446475469",
            "telephone_number": "330-833-2085",
            "fax_number": "330-833-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYCOCK",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2517100",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMETOWN",
            "identifier": "Q044763",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSCB",
            "identifier": "3515",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7509586",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000491984",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justis Hastings
• John Haubert
• Megan Hawk
• Tricia Anne Hawke, ATC
• Kimberlli S Hawkins
• Mikayla Robyn Hayes
• Patricia Anne Hayes, LPN
• Heather Lynn Hazel, CDCA
• David Jacob Heath, DO, MS, ATC
• Jessica Heath

• Chiropractor in Massillon, OH
• Providers in Massillon, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.