Kenneth Lee Mahnke, D.C.

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

616 Issued in NE

Practice address

748 E Military Ave
Fremont, NE 68025-5183

Phone

(402) 721-2818

Fax

(402) 721-9481

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kenneth L Mahnke Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1023090156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 E MILITARY AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255183",
            "telephone_number": "402-721-2818",
            "fax_number": "402-721-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 E MILITARY AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255183",
            "telephone_number": "402-721-2818",
            "fax_number": "402-721-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHNKE",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "616",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "NE",
            "license": "616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "MAHNKE",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary J Maas
• Madeleine Macdonald, MD
• Lindsey Madsen
• Kristie Magnino, CRNA
• Matthew J Magnino, M.D.
• Levi Mahnke
• Ryan John Mahnke, MS, PLMHP
• Main Street Counseling
• Cheryl Malina
• Dawn Maly

• Radiology Chiropractor in Fremont, NE
• Providers in Fremont, NE by specialty
• Radiology Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.