NPIMap

Organization Active NPI

Dr. Jennifer Sansen, P.S.

Doing business as Kitsap Chiropractic Clinic

  • Chiropractor
  • Port Orchard, WA
National Provider Identifier
1629247846
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3048 Issued in WA
Legal business name
DR. JENNIFER SANSEN, P.S.
Doing business as
Kitsap Chiropractic Clinic
Practice address
200 Bethel Ave
Port Orchard, WA 98366-5216
Phone
(360) 876-4171
Fax
(360) 876-3495
NPI assigned
Feb 21, 2008
Last updated
Apr 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Dr. Jennifer Helene Sansen, DCNPI 1265424220
Title
Owner
Phone
(360) 876-4171

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 3048 WA Primary

Addresses

Primary practice location

200 Bethel Ave
Port Orchard, WA 98366-5216

Mailing address

200 Bethel Ave
Port Orchard, WA 98366-5216
Phone (360) 876-4171

Other names 1

  • Kitsap Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323001683 WA Part B Supplier - Clinic/Group Practice 8921999426 Receives reassigned benefits from 3 practitioners
Practice locations: Port Orchard, WA

National Provider Directory

National Provider Directory

Locations

200 Bethel Ave
Port Orchard, WA 98366
Phone (360) 876-4171

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1629247846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BETHEL AVE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665216",
            "telephone_number": "360-876-4171",
            "fax_number": "360-876-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BETHEL AVE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665216",
            "telephone_number": "360-876-4171",
            "fax_number": "360-876-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JENNIFER SANSEN, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "SANSEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "HELENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-876-4171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "3048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kitsap Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.