Kenneth Ray Vanommen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05278 Issued in KS

Practice address

5680 N US Highway 75
Independence, KS 67301-8008

Phone

(620) 331-4737

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1326026592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 N US HIGHWAY 75",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673018008",
            "telephone_number": "620-331-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 N US HIGHWAY 75",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673018008",
            "telephone_number": "620-331-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOMMEN",
        "first_name": "KENNETH",
        "middle_name": "RAY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005068",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04864",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camilla Sue Tidwell
• Tri County Special Education Cooperative #607
• Leah Tucker
• Stacie Tush
• Usd 446 Independence
• Michele Vanwinkle
• Chelsea A Vargas, APRN
• Anthony Vidali, LAT, ATC
• Carolyn Ann Viets
• Cathy Vining, RPH

• Chiropractor in Independence, KS
• Providers in Independence, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.