Active NPI
Mark A Kennington, DC
- Chiropractor
- Blackfoot, ID
National Provider Identifier
1417618596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-2344
- Practice address
- 246 W Pacific St Ste C
Blackfoot, ID 83221-1723 - Phone
- (208) 557-1113
- NPI assigned
- Dec 31, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | CHIA-2344 | ID | Primary |
Addresses
Primary practice location
246 W Pacific St Ste C
Blackfoot, ID 83221-1723
Mailing address
246 W Pacific St Ste C
Blackfoot, ID 83221-1723
Phone (208) 557-1113
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-2344 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Health Solutions | Chiropractor | Current | Accepting new patients |
| Alternative Health Center, Inc | Chiropractor | Past | Accepting new patients |
| Precision Health | Chiropractor | Past | Accepting new patients |
Locations
246 W Pacific St
Ste C
Blackfoot, ID 83221
Phone (208) 557-1113
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Blackfoot, ID
- NPI 1386593903
-
- Chiropractor
- Pleasant Grove, UT
- NPI 1548448962
-
- Chiropractor
- Pleasant Grove, UT
- NPI 1376908053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1417618596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 W PACIFIC ST STE C",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211723",
"telephone_number": "208-557-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 W PACIFIC ST STE C",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211723",
"telephone_number": "208-557-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNINGTON",
"first_name": "MARK",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-31",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-2344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.