Active NPI
Kelly D Clenney, D.C.
- Chiropractor
- Amarillo, TX
National Provider Identifier
1356353346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7116
- Practice address
- 3701 Olsen Blvd Unit D
Amarillo, TX 79109-3053 - Phone
- (806) 352-2976
- Fax
- (806) 352-2660
- NPI assigned
- Aug 11, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7116 | TX | Primary |
Addresses
Primary practice location
3701 Olsen Blvd Unit D
Amarillo, TX 79109-3053
Mailing address
3701 Olsen Blvd Unit D
Amarillo, TX 79109-3053
Phone (806) 352-2976
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7116 | Other | TX | STATE LICENSE # |
| 82120X | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7116 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clenney Chiropractic PA | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Amarillo, TX
- NPI 1205059607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1356353346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 OLSEN BLVD UNIT D",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791093053",
"telephone_number": "806-352-2976",
"fax_number": "806-352-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 OLSEN BLVD UNIT D",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791093053",
"telephone_number": "806-352-2976",
"fax_number": "806-352-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLENNEY",
"first_name": "KELLY",
"middle_name": "D",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "7116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "7116",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82120X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.