DR. KENNETH HARRIS (NPI# 1669538120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669538120 |
| Entity Type | Individual |
| Full Name | DR. KENNETH HARRIS |
| Credential | D.C. |
| Practice Address |
51 E Prospect St Waldwick NJ 07463-2237 |
| Practice Telephone | 2014453434 |
| Practice Fax Number | 2014458895 |
| Mailing Telephone | 2014453434 |
| Mailing Fax Number | 2014458895 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 01404 | NJ | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063778967 | Kenneth Harris | Marriage & Family Therapist | 801 W 33rd St Unit 7972, Edmond, OK 73083-9517 | 2012-04-04 |
| 1790931335 | Kenneth Hal Harris | Pharmacist | 1776 Avalon St, Klamath Falls, OR 97603-4624 | 2008-08-14 |
| 1811055742 | Kenneth Paul Harris | Respiratory Therapist, Certified | 534 Brockton Ln, Schaumburg, IL 60193-2402 | 2006-12-04 |
| 1235145327 | Kenneth Charles Harris | Anesthesiology | 9220 Silverwood Ct, Granite Bay, CA 95746-7242 | 2006-07-31 |
| 1245294255 | Kenneth Lee Harris | Optometrist | 933 Siskiyou Blvd, Ashland, OR 97520-2143 | 2006-04-14 |
| 1841277845 | Kenneth A Harris | Specialist | 611 S Chestnut Street, Suite A, Ellensburg, WA 98926 | 2005-12-30 |
| 1861492027 | Kenneth B Harris | Internal Medicine | 444 Neptune Blvd, Neptune, NJ 07753-4144 | 2005-07-28 |
| 1902412430 | Kenneth A Harris | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-09-21 |
| 1881241933 | Kenneth Rodle Harris IIi | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2019-08-23 |
| 1023499365 | Kenneth Harris | Counselor | 24 Brookhill Dr, Newark, DE 19702-1301 | 2015-06-12 |
| Street Address |
51 E PROSPECT ST |
| City | WALDWICK |
| State | NJ |
| Zip Code | 07463-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104384460 | Life Opportunities Unlimited | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Cleveland Ave, Waldwick, NJ 07463 | 2019-03-06 |
| 1285105403 | Kristen Marie Forman | Social Worker | The Koch Center, P.C., 71 Franklin Tpke, Ste. 8, Waldwick, NJ 07463 | 2018-12-16 |
| 1083123970 | Emily Navarro | Dietitian, Registered | 26 Cleveland Ave, Waldwick, NJ 07463 | 2017-09-24 |
| 1760916340 | Sensory Taekwondo of Waldwick | Behavioral Analyst | 140 Hopper Ave, Waldwick, NJ 07463 | 2017-04-20 |
| 1205291176 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Wyckoff Avenue, Waldwick, NJ 07463 | 2015-12-21 |
| 1225456593 | Mina Hanna | Podiatrist | 171 Franklin Tpke Ste 200, Waldwick, NJ 07463 | 2014-04-02 |
| 1811282569 | Marion Elaine Troise | Massage Therapist | 3-4 Vernon Ct., Waldwick, NJ 07463 | 2011-06-10 |
| 1154595197 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 136 Hopper Ave., Waldwick, NJ 07463 | 2008-04-22 |
| 1326223777 | Raymond M Younghans | Physical Therapist | 136 Hopper Avenue, Waldwick, NJ 07463 | 2008-01-04 |
| 1841412228 | Armi Aura D Hernandez | Physical Therapist | 171 North Franklin Tpke., Waldwick, NJ 07463 | 2007-05-03 |
| Find all providers in zip 07463 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710435607 | Jesse Suess | Chiropractor | 22 Wyckoff Ave Ste 1, Waldwick, NJ 07463-1718 | 2016-09-20 |
| 1972917920 | Kyle O'connell | Chiropractor | 61 Crescent Ave Ste B, Waldwick, NJ 07463-1400 | 2014-06-18 |
| 1184869513 | Gary L Sherman | Chiropractor | 24 Wyckoff Ave, Suite 2, Waldwick, NJ 07463-1758 | 2008-12-15 |
| 1386785988 | David M Jacobs | Chiropractor | 22 Wyckoff Ave, Waldwick, NJ 07463-1718 | 2007-02-08 |
| 1538252101 | Dale Annette Fairchild | Chiropractor | 93 Franklin Turnpike, Waldwick, NJ 07463 | 2006-10-02 |
| 1598860223 | Stephen A. Jones | Chiropractor | 18 Wyckoff Avenue, Suite 201, Waldwick, NJ 07463 | 2006-09-14 |
| 1194737445 | Alfred Gigante | Chiropractor | 83 Franklin Tpke, Waldwick, NJ 07463-1820 | 2006-08-13 |
| 1679089007 | Cory O'connell | Chiropractor | 61 Crescent Ave Ste B, Waldwick, NJ 07463-1400 | 2017-12-21 |
| 1326567330 | Suess Family Chiropractic LLC | Chiropractor | 22 Wyckoff Ave Ste 1, Waldwick, NJ 07463-1718 | 2017-09-12 |
| 1447704408 | Oconnell Chiropractic LLC | Chiropractor | 61 Crescent Ave, Waldwick, NJ 07463-1431 | 2016-08-08 |
| Find all providers in WALDWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.