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KENNETH ODOOM DC
NPI 1659240588
Chiropractor in Reston, VA

Active since October 30, 2025Accepts Medicare Assignment
1886 METRO CENTER DR STE 100, RESTON, VA 20190(703) 437-8195(703) 437-2404 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kenneth Odoom Dc NPPES

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

KENNETH ODOOM DC (NPI 1659240588) is an individual chiropractor in Reston, Virginia, licensed in Virginia (0104558117) and active in the NPI registry since October 2025. He is a graduate of Logan College Of Chiropractic (2025).

NPPES Registry Identity

NPI1659240588
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKENNETH ODOOMCredential: DC
Location Address1886 METRO CENTER DR STE 100Reston, VA 20190-5289
Mailing Address14860 Lynhodge CtCentreville, VA 20120-1862 · (703) 437-8195 · Fax (703) 437-2404
Phone(703) 437-8195
Fax(703) 437-2404
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2025
Enumeration DateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1659240588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104558117
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.
1886 METRO CENTER DR STE 100, Reston, VA 20190
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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

Kenneth Odoom Dc 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 ID8729579990
PECOS Enrollment IDI20251114003619

Other Providers at the Same Location NPPES 2

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

DR. HIRAD NAJAFBAGY D.C.
Chiropractor (Sports Physician)
1886 METRO CENTER DR STE 100
RESTON, VA 20190
Fairfax County (703) 437-8195
DR. SANDRA NICOLE MCGOURTY D.C.
Chiropractor
1886 METRO CENTER DR STE 100
RESTON, VA 20190
Fairfax County (703) 437-8195

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 Kenneth Odoom's NPI number?

The NPI number for Kenneth Odoom is 1659240588. It was assigned to this individual provider in the NPPES registry on October 30, 2025.

Where is Kenneth Odoom located?

Kenneth Odoom practices at 1886 Metro Center Dr Ste 100, Reston, VA 20190. The listed phone number is (703) 437-8195.

What is Kenneth Odoom's specialty?

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

Is Kenneth Odoom enrolled in Medicare?

Yes. Kenneth Odoom 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.

When was this NPI record last updated?

The NPPES record for Kenneth Odoom was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.