Kenkel Family Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KENKEL FAMILY CHIROPRACTIC PC

Practice address

502 Sharp St
Glenwood, IA 51534-1731

Phone

(712) 527-5800

Fax

(712) 527-2065

NPI assigned

Jun 4, 2006

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike V Kenkel, D.C.NPI 1124065123

Title

Owner

Phone

(712) 527-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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, and the practitioner matching its NPPES authorized official.

• Mike V Kenkel, D.C.

  • Chiropractor
  • Glenwood, IA
  • NPI 1124065123
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1225077688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 SHARP ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341731",
            "telephone_number": "712-527-5800",
            "fax_number": "712-527-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SHARP ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341731",
            "telephone_number": "712-527-5800",
            "fax_number": "712-527-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENKEL FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "KENKEL",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-527-5800",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Jerkovich, PHARMD
• Celosia Johnson
• Denise Jaye Johnson, M.P.T.
• Amy Kelly, DOULA
• Edward Lawrence Kelly Jr., LPN
• Mike V Kenkel, D.C.
• Robert Marvin Kent, M.D.
• Mitch Keppard
• Terena Mae Kring, APRN
• Jason A Krist, ARNP

• Chiropractor in Glenwood, IA
• Providers in Glenwood, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.