Individual provider Active NPI

Josephine Cullom Kinney, D.C.

  • Chiropractor
  • Malvern, PA
National Provider Identifier
1972667277
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002844L Issued in PA
Practice address
403 Lancaster Ave
Malvern, PA 19355-1805
Phone
(610) 296-5560
Fax
(610) 296-5560
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002844L PA Primary

Addresses

Primary practice location

403 Lancaster Ave
Malvern, PA 19355-1805

Mailing address

403 Lancaster Ave
Malvern, PA 19355-1805
Phone (610) 296-5560

Other identifiers 3

IdentifierTypeStateIssuer
0026866000OtherPAINDEPENDENCE BC
4488556OtherAETNA
KI137660OtherPAHIGHMARK BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120203000537 PA Practitioner - Chiropractic 8527225408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John C. Macaulay and Josephine C. KinneyGroup PAC ID 2961441407, 2 clinicians

Practice addresses (Care Compare)

403 Lancaster Ave
Frazer, PA 19355-1805
Phone (610) 296-5560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John C. Macaulay & Josephine C. Kinney Chiropractor CurrentSince Dec 21, 1984 Accepting new patients

Locations

403 Lancaster Ave
Malvern, PA 19355
Phone (610) 296-5560

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1972667277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551805",
            "telephone_number": "610-296-5560",
            "fax_number": "610-296-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551805",
            "telephone_number": "610-296-5560",
            "fax_number": "610-296-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "JOSEPHINE",
        "middle_name": "CULLOM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002844L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BC",
            "identifier": "0026866000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4488556",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "KI137660",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.