Individual provider Active NPI

Chris W McKenney, DC

  • Chiropractor
  • Belleview, FL
National Provider Identifier
1306867908
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4336 Issued in FL
Practice address
5608 SE 113TH St
Suite a
Belleview, FL 34420-4038
Phone
(352) 245-8955
Fax
(352) 245-9156
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH4336 FL Primary

Addresses

Primary practice location

5608 SE 113TH St
Suite a
Belleview, FL 34420-4038

Mailing address

5608 SE 113TH St
Suite a
Belleview, FL 34420-4038
Phone (352) 245-8955

Other identifiers 2

IdentifierTypeStateIssuer
P00291511OtherFLMEDICARE RAILROAD
70367OtherFLBCBS OF FLORIDA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060328000520 FL Practitioner - Chiropractic 2365343423 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McKenney Chiropractic Center PA Chiropractor CurrentSince Jan 2, 2006 Accepting new patients
Better Life Chiropractic and Wellness Chiropractor PastSince Apr 30, 2003 Accepting new patients

Locations

5608 SE 113th St
Ste A
Belleview, FL 34420
Phone (352) 245-8955

Organizations & group practices 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1306867908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 SE 113TH ST",
            "address_2": "SUITE A",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344204038",
            "telephone_number": "352-245-8955",
            "fax_number": "352-245-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 SE 113TH ST",
            "address_2": "SUITE A",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344204038",
            "telephone_number": "352-245-8955",
            "fax_number": "352-245-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNEY",
        "first_name": "CHRIS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00291511",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "70367",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.