Kylan Cris Bennett, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-06024 Issued in KS

Practice address

2605 Central Ave
Dodge City, KS 67801-6210

Phone

(620) 227-9902

NPI assigned

Jan 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stupka Chiropractic and Wellness Center, LLCGroup PAC ID 5890939763, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stupka Chiropractic & Wellness Center, LLC

  • Chiropractor
  • McPherson, KS
  • NPI 1780021683
  Medicare reassignment Care Compare group NPD
• Koehn Wellness & Chiropractic, P.a.

  • Chiropractor
  • Dodge City, KS
  • NPI 1902903917
  NPD

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1265062848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 CENTRAL AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016210",
            "telephone_number": "620-227-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 CENTRAL AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016210",
            "telephone_number": "620-227-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KYLAN",
        "middle_name": "CRIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Scott
• Barnett Consulting Services
• Deanna Louise Barnett, LCPC, NCC
• Amanda Marie Barrientos
• Amanda Belcher, COTA/L
• Leatha J Benson, LSCSW
• Sheri Lynn Berger, LPN
• Christian Bergmeier
• Jennifer Ann Blackburn, PMHNP-C
• Janese S Boger, LMSW

• All providers in Dodge City, KS
• Chiropractor in Kansas

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