Individual provider Active NPI

John F Klinginsmith, DC

  • Chiropractor
  • Kearney, NE
National Provider Identifier
1265425169
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
990 Issued in NE
Practice address
11 W 31St St
Kearney, NE 68847-2914
Phone
(308) 234-4940
Fax
(308) 236-5692
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 990 NE Primary

Addresses

Primary practice location

11 W 31St St
Kearney, NE 68847-2914

Mailing address

11 W 31St St
Kearney, NE 68847-2914
Phone (308) 234-4940

Other identifiers 2

IdentifierTypeStateIssuer
47074311800MedicaidNE
9516OtherNEBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100125000107 NE Practitioner - Chiropractic 7618019944 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

412 W 48TH St
Suite 16
Kearney, NE 68845-1224
Phone (308) 234-4940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
990NEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Klinginsmith Family Chiropractic, P.C. Chiropractor CurrentSince May 1, 1994 Accepting new patients

Locations

412 W 48th St
Ste 16
Kearney, NE 68845
Phone (308) 234-4940

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1265425169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W 31ST ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472914",
            "telephone_number": "308-234-4940",
            "fax_number": "308-236-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W 31ST ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472914",
            "telephone_number": "308-234-4940",
            "fax_number": "308-236-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGINSMITH",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47074311800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9516",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

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