Individual provider Active NPI

Ross Yeager Kennard, D.C.

  • Chiropractor
  • Severna Park, MD
National Provider Identifier
1992805063
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
02056 Issued in MD
Practice address
650 Ritchie Hwy
Suite 106
Severna Park, MD 21146-3916
Phone
(410) 421-5544
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 02056 MD Primary

Addresses

Primary practice location

650 Ritchie Hwy
Suite 106
Severna Park, MD 21146-3916

Mailing address

650 Ritchie Hwy
Suite 106
Severna Park, MD 21146-3916
Phone (410) 421-5544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02056MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Potential Chiropractic and Physical Therapy Chiropractor CurrentSince Apr 28, 2024 Accepting new patients

Locations

650 Ritchie Hwy
Ste 106
Severna Park, MD 21146
Phone (410) 421-5544

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1992805063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 RITCHIE HWY",
            "address_2": "SUITE 106",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463916",
            "telephone_number": "410-421-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 RITCHIE HWY",
            "address_2": "SUITE 106",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463916",
            "telephone_number": "410-421-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNARD",
        "first_name": "ROSS",
        "middle_name": "YEAGER",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.