Kenneth Dean Jensen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA1565 Issued in ID

Practice address

533 S Middleton Rd
Suite 102
Middleton, ID 83644-6013

Phone

(208) 585-3000

Fax

(208) 585-2222

NPI assigned

Sep 1, 2013

Last updated

Sep 10, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jensen Chiropractic and Wellness PLLC

  dba Jensen Chiropractic and Wellness

  • Chiropractor
  • Middleton, ID
  • NPI 1720413792
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1377993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1114351665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S MIDDLETON RD",
            "address_2": "SUITE 102",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836446013",
            "telephone_number": "208-585-3000",
            "fax_number": "208-585-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S MIDDLETON RD",
            "address_2": "SUITE 102",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836446013",
            "telephone_number": "208-585-3000",
            "fax_number": "208-585-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KENNETH",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-01",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Read Hughes
• Alisha Hunt, LCSW
• Autumn Hutchison, B.S.
• Icare Supported Living, Inc.
• Jensen Chiropractic and Wellness PLLC (Jensen Chiropractic and Wellness)
• Scott Richard Jordan, DMD
• Meghann Elaine Kalliokoski, DNP
• Erin Keller, FNP
• Kristine P Kingery, PA-C
• Christopher J Kunz, LCSW

• Chiropractor in Middleton, ID
• Providers in Middleton, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.