Kent Chiropractic Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

2722 Issued in MN

Legal business name

KENT CHIROPRACTIC CLINIC

Practice address

245 Prior Ave N
Saint Paul, MN 55104-5163

Phone

(651) 696-9110

Fax

(888) 503-7553

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Susan Marie Kent, D.C.NPI 1467445486

Title

Owner

Phone

(651) 696-9110

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Marie Kent, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1467445486
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1164574752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 PRIOR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045163",
            "telephone_number": "651-696-9110",
            "fax_number": "888-503-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PRIOR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045163",
            "telephone_number": "651-696-9110",
            "fax_number": "888-503-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-696-9110",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "2722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273528800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Kennedy, RN
• Carie Kenney, RDCS
• Randi Michelle Kenney, PA-C
• James El Haddi Kenny, MD
• Moira Elizabeth Kenny
• Anne Elizabeth Kent
• Bailey Kent, MD
• Courtney Nicole Kent, MA, OTR/L
• Jay E Kent, MD
• Josie Kent

• Health Service Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.