Organization Active NPI

Fenn Chiropractic

  • Adult Medicine Physician
  • Wichita, KS
National Provider Identifier
1366618084
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
0422530 Issued in KS
Legal business name
FENN CHIROPRACTIC
Practice address
2548 N Maize CT Ste 104
Wichita, KS 67205-7348
Phone
(316) 722-4247
Fax
(316) 722-4287
NPI assigned
May 2, 2008
Last updated
Jun 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Dr. Jeffrey D Fenn, D.C.
Title
Ceo
Phone
(316) 722-4247

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 44143 KS
Adult Medicine Physician 207QA0505X 0422530 KS Primary

Addresses

Primary practice location

2548 N Maize CT Ste 104
Wichita, KS 67205-7348

Mailing address

2548 N Maize CT Ste 104
Wichita, KS 67205-7348
Phone (316) 722-4247

National Provider Directory

National Provider Directory

Locations

2548 N Maize Ct
Ste 104
Wichita, KS 67205
Phone (316) 652-7900

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1366618084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 N MAIZE CT STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672057348",
            "telephone_number": "316-722-4247",
            "fax_number": "316-722-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 N MAIZE CT STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672057348",
            "telephone_number": "316-722-4247",
            "fax_number": "316-722-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-722-4247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44143",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "KS",
            "license": "0422530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.