DR. JERRY M KENNY D.C.
NPI 1316087646
Chiropractor in Vallejo, CA

Active since February 07, 2007Accepts Medicare Assignment
3418 SONOMA BLVD, VALLEJO, CA 94590(707) 552-2252(707) 552-2268 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jerry M Kenny D.c. NPPES

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

DR. JERRY M KENNY D.C. (NPI 1316087646) is an individual chiropractor in Vallejo, California, licensed in California (DC25578) and active in the NPI registry since February 2007. He is a graduate of Western States College Of Chiropractic (1997).

NPPES Registry Identity

NPI1316087646
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERRY M KENNYCredential: D.C.
Location Address3418 SONOMA BLVDVallejo, CA 94590-2972
Mailing Address3418 Sonoma BlvdVallejo, CA 94590-2972 · (707) 552-2252 · Fax (707) 552-2268
Fax(707) 552-2268
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 1997
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316087646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC25578
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.
3418 SONOMA BLVD, Vallejo, CA 94590

Other Identifiers 1

Medicare UPINDC0255780CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerry M Kenny D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133168099
PECOS Enrollment IDI20050429000268

Medicare Billing Reassignment

Medicare enrollment records show Jerry Kenny reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sports Physician
185 FRONT ST STE 107
Danville, CA 94526
  • Reassigned Medicare billing, California enrollment

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
530 services37 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3418 SONOMA BLVD
VALLEJO, CA 94590

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 Jerry Kenny's NPI number?

The NPI number for Jerry Kenny is 1316087646. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Jerry Kenny located?

Jerry Kenny practices at 3418 Sonoma Blvd, Vallejo, CA 94590. The listed phone number is (707) 552-2252.

What is Jerry Kenny's specialty?

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

Is Jerry Kenny enrolled in Medicare?

Yes. Jerry Kenny is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jerry Kenny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Kenny reassigns Medicare benefits to Kenny Chiropractic Inc (Danville, CA). The 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 Jerry Kenny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jerry Kenny was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.