Organization Active NPI

Klinginsmith Family Chiropractic, P.C.

  • Chiropractor
  • Kearney, NE
National Provider Identifier
1346570835
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
990 Issued in NE
Legal business name
KLINGINSMITH FAMILY CHIROPRACTIC, P.C.
Practice address
11 West 31St Street
Kearney, NE 68847-2914
Phone
(308) 234-4940
Fax
(308) 236-5692
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. John Fitzgerald Klinginsmith, D.C.NPI 1265425169
Title
President
Phone
(308) 234-4940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 990 NE Primary

Addresses

Primary practice location

11 West 31St Street
Kearney, NE 68847-2914

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
9516OtherNEBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100125000112 NE Part B Supplier - Clinic/Group Practice 0345382677 Receives reassigned benefits from 1 practitioner
Practice locations: Kearney, NE

National Provider Directory

National Provider Directory

Locations

4009 6th Ave
Ste 50
Kearney, NE 68845
Phone (308) 234-4940

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1346570835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WEST 31ST STREET",
            "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 WEST 31ST STREET",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472914",
            "telephone_number": "308-234-4940",
            "fax_number": "308-236-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLINGINSMITH FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "KLINGINSMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FITZGERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-234-4940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "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 Jan 5, 2010; 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.