Organization Active NPI

Kinni Valley Chiropractic

  • Chiropractor
  • River Falls, WI
National Provider Identifier
1194832550
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3731012 Issued in WI
Legal business name
KINNI VALLEY CHIROPRACTIC
Practice address
215 N 2ND St
Suite 201
River Falls, WI 54022-3706
Phone
(715) 425-6665
Fax
(715) 425-6677
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brian James Senoraske, D.C.NPI 1821102542
Title
President
Phone
(715) 425-6665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3731012 WI Primary

Addresses

Primary practice location

215 N 2ND St
Suite 201
River Falls, WI 54022-3706

Mailing address

215 N 2ND St
Suite 201
River Falls, WI 54022-3706
Phone (715) 425-6665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041028000497 WI Part B Supplier - Clinic/Group Practice 7416919816 Receives reassigned benefits from 1 practitioner
Practice locations: River Falls, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194832550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N 2ND ST",
            "address_2": "SUITE 201",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223706",
            "telephone_number": "715-425-6665",
            "fax_number": "715-425-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 2ND ST",
            "address_2": "SUITE 201",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223706",
            "telephone_number": "715-425-6665",
            "fax_number": "715-425-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNI VALLEY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SENORASKE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-425-6665",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3731012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.