Individual provider Active NPI

Kimberly G Junemann, DC

  • Chiropractor
  • Wichita Falls, TX
National Provider Identifier
1225023062
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1542 Issued in TX
Practice address
2708 S W Parkway
Suite A121
Wichita Falls, TX 76308-3733
Phone
(940) 696-8184
Fax
(940) 696-8187
NPI assigned
Sep 19, 2005
Last updated
May 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1542 TX Primary

Addresses

Primary practice location

2708 S W Parkway
Suite A121
Wichita Falls, TX 76308-3733

Mailing address

2708 S W Parkway
Suite A121
Wichita Falls, TX 76308-3733
Phone (940) 696-8184

Other identifiers 1

IdentifierTypeStateIssuer
8AC950OtherTXBLUECROSS BLUESHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090508000244 TX Practitioner - Chiropractic 5698823243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2708 Southwest Pkwy
Suite A121
Wichita Falls, TX 76308-3733
Phone (940) 696-8184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All Family Chiropractic Inc. Chiropractor CurrentSince Apr 1, 2009 Accepting new patients

Locations

2708 Southwest Pkwy
Ste 121A
Wichita Falls, TX 76308

2708 Southwest Pkwy
Ste A121
Wichita Falls, TX 76308
Phone (940) 696-8184

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1225023062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 S W PARKWAY",
            "address_2": "SUITE A121",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083733",
            "telephone_number": "940-696-8184",
            "fax_number": "940-696-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 S W PARKWAY",
            "address_2": "SUITE A121",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083733",
            "telephone_number": "940-696-8184",
            "fax_number": "940-696-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNEMANN",
        "first_name": "KIMBERLY",
        "middle_name": "G",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "8AC950",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.