DR. WILLIAM KENNEBECK DC
NPI 1902695729
Chiropractor in Roanoke, VA

Active since May 06, 2025Accepts Medicare Assignment
2522 COLONIAL AVE SW, ROANOKE, VA 24015(540) 929-1617 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. William Kennebeck Dc NPPES

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

DR. WILLIAM KENNEBECK DC (NPI 1902695729) is an individual chiropractor in Roanoke, Virginia, licensed in Virginia (0104558087) and active in the NPI registry since May 2025. He is a graduate of Cleveland Chiropractic College - Kansas City (2025).

NPPES Registry Identity

NPI1902695729
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. WILLIAM KENNEBECKCredential: DC
Location Address2522 COLONIAL AVE SWRoanoke, VA 24015-3121
Mailing Address6521 Rolling Brook Rd Apt 305-10Roanoke, VA 24019-1447 · (402) 838-9423
Sole ProprietorNo
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2025
Enumeration DateMay 6, 2025
NPPES CertifiedMay 6, 2025
NPI 1902695729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in VA · 0104558087
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.
2522 COLONIAL AVE SW, Roanoke, VA 24015

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. William Kennebeck 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 ID345734026
PECOS Enrollment IDI20251210002086

Other Providers at the Same Location NPPES 5

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

Chiropractor
2522 COLONIAL AVE SW
ROANOKE, VA 24015
Physical Medicine & Rehabilitation (Pain Medicine)
2522 COLONIAL AVE SW
ROANOKE, VA 24015
Physician Assistant
2522 COLONIAL AVE SW
ROANOKE, VA 24015
Chiropractor
2522 COLONIAL AVE SW
ROANOKE, VA 24015
Registered Nurse (Wound Care)
2522 COLONIAL AVE SW
ROANOKE, VA 24015

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 William Kennebeck's NPI number?

The NPI number for William Kennebeck is 1902695729. It was assigned to this individual provider in the NPPES registry on May 6, 2025.

Where is William Kennebeck located?

William Kennebeck practices at 2522 Colonial Ave SW, Roanoke, VA 24015. The listed phone number is (540) 929-1617.

What is William Kennebeck's specialty?

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

Is William Kennebeck enrolled in Medicare?

Yes. William Kennebeck 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 William Kennebeck was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.