Organization Active NPI

Jensen Chiropractic LLC

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1609197482
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05313 Issued in KS
Legal business name
JENSEN CHIROPRACTIC LLC
Practice address
917 W 43Rd St Ste a
Kansas City, MO 64111-3133
Phone
(816) 831-1300
Fax
(816) 831-1301
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Dr. Kyle Colby Jensen, D.C.NPI 1306168950
Title
Chiropractic Physician
Phone
(816) 831-1300

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-05313 KS Primary

Addresses

Primary practice location

917 W 43Rd St Ste a
Kansas City, MO 64111-3133

Mailing address

917 W 43Rd St Ste a
Kansas City, MO 64111-3133
Phone (816) 831-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220922000444 MO Part B Supplier - Clinic/Group Practice 9537285457 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

11301 W 88th St
Overland Park, KS 66214

917 W 43rd St
Ste A
Kansas City, MO 64111
Phone (816) 831-1300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1609197482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 W 43RD ST STE A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113133",
            "telephone_number": "816-831-1300",
            "fax_number": "816-831-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W 43RD ST STE A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113133",
            "telephone_number": "816-831-1300",
            "fax_number": "816-831-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "COLBY",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "816-831-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.