Jennifer Christine Kane, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2001011188 Issued in MO

Practice address

300 Ozark Trail Dr Ste 105
Ellisville, MO 63011-2156

Phone

(636) 207-6600

Fax

(636) 207-6631

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Dynamic Health Chiropractic LLC

  • Chiropractor
  • Ellisville, MO
  • NPI 1053515957
  Medicare reassignment NPD Authorized official
• Gray Family Chiropractic PLLC

  • Chiropractor
  • Chesterfield, MO
  • NPI 1811312663
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1477595221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 STILL HOUSE CREEK RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171956",
            "telephone_number": "314-496-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OZARK TRAIL DR STE 105",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112156",
            "telephone_number": "636-207-6600",
            "fax_number": "636-207-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2001011188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053515957",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Glaus Pingel, LLC
• John C Smith Jr Inc
• Danielle E. Jokerst, MOTR
• Hannah June, M.S.O.T., OTR/L
• K&S Medical, L.L.C.
• Kathryn Schormann LLC
• Aya Kaziz
• Rachel I Kehr, DDS
• Amy Lynn Kelly, RD
• Matthew Spencer Kelly, OD

• Chiropractor in Ellisville, MO
• Providers in Ellisville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.