KENNEDY AVE CHIROPRACTIC
NPI 1407404569
General Practice in Highland, IN
NPI Status: Active since August 30, 2019
Contact Information
8145 KENNEDY AVE
HIGHLAND, IN
ZIP 46322
Phone: (219) 803-6630
Fax: (219) 937-7237
- Organization
- General Practice
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 15D2213427
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-11-2027
About KENNEDY AVE CHIROPRACTIC
This page provides the complete NPI Profile along with additional information for Kennedy Ave Chiropractic, a primary care provider established in Highland, Indiana operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1407404569 assigned on August 2019. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Kennedy Ave Chiropractic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Kennedy Ave Chiropractic. The authorized official of this NPI record is Dr. Ahmad Sprouse Dc (Owner)
- NPI
- 1407404569
- Provider Legal Name
- INTEGRATED BODY AND MEDICINE, PC
- Other Organization Name
- KENNEDY AVE CHIROPRACTIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 8145 KENNEDY AVE HIGHLAND, IN 46322
- Location Phone
- (219) 803-6630
- Location Fax
- (219) 937-7237
- Mailing Address
- 8145 KENNEDY AVE HIGHLAND, IN 46322
- Mailing Phone
- (219) 803-6630
- Mailing Fax
- (219) 937-7237
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-30-2019
- Last Update Date
- 03-01-2022
- Code Navigator
A primary care provider (PCP) like Kennedy Ave Chiropractic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Kennedy Ave Chiropractic is a medicare supplier with PTAN 20406641 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Contracture Treatment Devices: Dynamic Splint or Heat & Cold Applications or Neuromuscular Elect Stimulators (NMES)/Supplies or Osteogenesis Stimulators or Traction Equipment or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Neurostimulators and/or Supplies.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20406641
- Accepts Medicare Assignment
- YES
- Specialities List
- MSC With Orthotic Personnel.
- Competitive Bidding
- NO
Supplies List
- Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
- Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
- Neuromuscular Elect Stimulators (NMES)/Supplies - Electrodes, lead wires, adhesive tape
- Osteogenesis Stimulators - Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators
- Traction Equipment - Traction tables, Traction machines, Inversion tables
- (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Neurostimulators and/or Supplies - Rechargable neurostimulators, Non-rechargable neurostimulators
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2213427
- Facility Type
- Physician Office
- Certificate Effective Date
- February 12, 2025
- Certificate Expiration Date
- February 11, 2027
- Laboratory Director
- AHMAD SPROUSE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kennedy Ave Chiropractic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1407404569, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407404569, enumerated as an "organization" on August 30, 2019.
The provider is located at 8145 KENNEDY AVE HIGHLAND, IN 46322 and the phone number is (219) 803-6630.
General Practice with taxonomy code 208D00000X.
