Individual provider Active NPI

Kenya Laser, DC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1134762891
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06009 Issued in KS
Practice address
11720 W 135TH St
Overland Park, KS 66221-9395
Phone
(913) 305-3686
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06009 KS Primary

Addresses

Primary practice location

11720 W 135TH St
Overland Park, KS 66221-9395

Mailing address

11720 W 135TH St
Overland Park, KS 66221-9395
Phone (913) 305-3686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200217002653 KS Practitioner - Chiropractic 3274966627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11720 W 135TH St
Overland Park, KS 66221-9395
Phone (913) 305-3686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-06009KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wisner Chiropractic, LLC Chiropractor CurrentSince Oct 27, 2019 Accepting new patients

Locations

11720 W 135th St
Overland Park, KS 66221
Phone (913) 305-3686

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1134762891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662219395",
            "telephone_number": "913-305-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662219395",
            "telephone_number": "913-305-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASER",
        "first_name": "KENYA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.