KENNEDY CHIROPRACTIC HEALTH AND WELLNESS CENTER INC
NPI 1083845184
Chiropractor in Aliso Viejo, CA

Active since August 06, 2009
11 MAREBLU, 120, ALISO VIEJO, CA 92656(949) 305-1790(949) 305-1801 Get Directions Write a Review

NPPES record last updated: August 17, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kennedy Chiropractic Health And Wellness Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY CHIROPRACTIC HEALTH AND WELLNESS CENTER INC (NPI 1083845184), doing business as Kennedy Chiropractic Health And Wellness Center, is a healthcare organization registered as a chiropractor in Aliso Viejo, California and active in the NPI registry since August 2009. The organization lists Kris Kelly Kennedy, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1083845184
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKENNEDY CHIROPRACTIC HEALTH AND WELLNESS CENTER INC
Location Address11 MAREBLU, 120Aliso Viejo, CA 92656-3066
Mailing Address15550 Rockfield Blvd, B220Irvine, CA 92618-2720 · (949) 598-9999 · Fax (949) 598-9990
Fax(949) 305-1801
Organization SubpartNo
Authorized OfficialKris Kelly KennedyOwner/provider · (949) 305-1790
Enumeration DateAugust 6, 2009
Last NPPES UpdateAugust 17, 2010
✔ NPI 1083845184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC28686
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
11 MAREBLU, Aliso Viejo, CA 92656

Other Names 1

Former Legal Business NameKennedy Chiropractic Health And Wellness Center

Other Identifiers 1

OtherDC28686CA · Chiropractic License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Chiropractic Health And Wellness Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kennedy Chiropractic Health And Wellness Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1700943560
11 MAREBLU 120
Aliso Viejo, CA 92656
(949) 305-1790
✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Chiropractic Health And Wellness Center Inc's NPI number?

The NPI number for Kennedy Chiropractic Health And Wellness Center Inc is 1083845184. It was assigned to this organization in the NPPES registry on August 6, 2009. The provider was formerly known as Kennedy Chiropractic Health And Wellness Center.

Where is Kennedy Chiropractic Health And Wellness Center Inc located?

Kennedy Chiropractic Health And Wellness Center Inc is located at 11 Mareblu 120, Aliso Viejo, CA 92656. The listed phone number is (949) 305-1790.

What is Kennedy Chiropractic Health And Wellness Center Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kennedy Chiropractic Health And Wellness Center Inc enrolled in Medicare?

Yes. Kennedy Chiropractic Health And Wellness Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kennedy Chiropractic Health And Wellness Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kennedy Chiropractic Health And Wellness Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kennedy Chiropractic Health And Wellness Center Inc was last updated on August 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.