Organization Active NPI

KC Chiropractic LLC

  • Chiropractor
  • Waltham, MA
National Provider Identifier
1982879953
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2408 Issued in MA
Legal business name
KC CHIROPRACTIC LLC
Practice address
1344 Main St
Waltham, MA 02451-1617
Phone
(781) 547-6772
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Miss Kendra Carnevale
Title
Chiropractor
Phone
(781) 547-6772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2408 MA Primary

Addresses

Primary practice location

1344 Main St
Waltham, MA 02451-1617

Mailing address

1344 Main St
Waltham, MA 02451-1617
Phone (978) 869-4441

National Provider Directory

National Provider Directory

Locations

1344 Main St
Waltham, MA 02451
Phone (781) 547-6772

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1982879953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511617",
            "telephone_number": "978-869-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511617",
            "telephone_number": "781-547-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "CARNEVALE",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "781-547-6772",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.