DR. MICHAEL JOHN KENNEDY D.C.
NPI 1639358088
Chiropractor in Plymouth, MN

Active since November 01, 2007Accepts Medicare Assignment
12105 41ST AVE N, APT 118, PLYMOUTH, MN 55441(952) 607-6416 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael John Kennedy D.c. NPPES

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

DR. MICHAEL JOHN KENNEDY D.C. (NPI 1639358088) is an individual chiropractor in Plymouth, Minnesota, licensed in Minnesota (4999) and active in the NPI registry since November 2007. He is a graduate of Northwestern College Of Chiropractic (2007).

NPPES Registry Identity

NPI1639358088
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL JOHN KENNEDYCredential: D.C.
Location Address12105 41ST AVE N, APT 118Plymouth, MN 55441-1200
Mailing Address6409 City West Pkwy, Suite 105Eden Prairie, MN 55344-7845 · (952) 833-3038 · Fax (952) 833-3040
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 2007
Enumeration DateNovember 1, 2007
NPI 1639358088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 4999
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.
12105 41ST AVE N, Plymouth, MN 55441

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael John Kennedy 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 ID9739266222
PECOS Enrollment IDI20080408000654

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.
176 services18 patients

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 Michael Kennedy's NPI number?

The NPI number for Michael Kennedy is 1639358088. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Where is Michael Kennedy located?

Michael Kennedy practices at 12105 41st Ave N Apt 118, Plymouth, MN 55441. The listed phone number is (952) 607-6416.

What is Michael Kennedy's specialty?

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

Is Michael Kennedy enrolled in Medicare?

Yes. Michael Kennedy 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.

What insurance does Michael Kennedy accept?

Health plans from HealthPartners and Medica list Michael Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Kennedy was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.