Organization Active NPI

Jennings Chiropractic & Kinesiology PA

  • Chiropractor
  • Great Bend, KS
National Provider Identifier
1508051707
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04566 Issued in KS
Legal business name
JENNINGS CHIROPRACTIC & KINESIOLOGY PA
Practice address
1907 Washington St
Great Bend, KS 67530-2425
Phone
(620) 792-6854
Fax
(620) 792-6841
NPI assigned
Sep 11, 2007
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Michael B JenningsNPI 1972683530
Title
Doctor
Phone
(620) 792-6854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-04566 KS Primary

Addresses

Primary practice location

1907 Washington St
Great Bend, KS 67530-2425

Mailing address

1907 Washington St
Great Bend, KS 67530-2425
Phone (620) 792-6854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050524000959 KS Part B Supplier - Clinic/Group Practice 7113969726 Receives reassigned benefits from 1 practitioner
Practice locations: Great Bend, KS

National Provider Directory

National Provider Directory

Locations

1907 Washington St
Great Bend, KS 67530
Phone (620) 792-6854

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1508051707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 WASHINGTON ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302425",
            "telephone_number": "620-792-6854",
            "fax_number": "620-792-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 WASHINGTON ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302425",
            "telephone_number": "620-792-6854",
            "fax_number": "620-792-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS CHIROPRACTIC & KINESIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "620-792-6854",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.