Corey Klinkenberg, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05939 Issued in KS

Practice address

13020 Canaan Center Drive
Suite B
Bonner Springs, KS 66012-1813

Phone

(913) 346-6600

Fax

(913) 346-6601

NPI assigned

Dec 4, 2018

Last updated

Jan 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Midwest Chiropractic Center - B Springs LLC

  • Chiropractor
  • Bonner Springs, KS
  • NPI 1003499906
  Medicare reassignment NPD

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1356811293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 CANAAN CENTER DRIVE",
            "address_2": "SUITE B",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660121813",
            "telephone_number": "913-346-6600",
            "fax_number": "913-346-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 CANAAN CENTER DRIVE",
            "address_2": "SUITE B",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660121813",
            "telephone_number": "913-346-6600",
            "fax_number": "913-346-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINKENBERG",
        "first_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bonnersprings@mwchiropractic.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13020 Canaan Center Drive",
            "address_2": "Suite B",
            "city": "Bonner Springs",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660121813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Bonner Springs, KS
• Providers in Bonner Springs, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.