Jeffrey Fenn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05-163 Issued in KS

Practice address

6224 Shadybrook St
Wichita, KS 67208-1844

Phone

(316) 683-9500

Fax

(316) 683-9502

NPI assigned

Dec 19, 2007

Last updated

May 2, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1023292604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 SHADYBROOK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081844",
            "telephone_number": "316-683-9500",
            "fax_number": "316-683-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 SHADYBROOK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081844",
            "telephone_number": "316-683-9500",
            "fax_number": "316-683-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENN",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "KS",
            "license": "01-05-163",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05-163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Sean Felton, D.C.
• Dawn Marie Feltrop, PTA
• Bethany Fenlason
• Fenn Chiropractic
• Erin Nicole Fenn
• Robin Ann Fenn, M.A., CCC-SLP
• Nicole Renee Fenoglio, LSCSW
• Sydney Ferarro
• Dawn Ferguson, CPTA
• Sierra Ferguson, PA

• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.