Active NPI
Kari Ann Bennett, D.C.
- Chiropractor
- Gillette, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 783
- Practice address
- 201 W Lakeway Rd Ste 211
Gillette, WY 82718-6341 - Phone
- (307) 682-7885
- Fax
- (307) 682-2153
- NPI assigned
- Mar 11, 2008
- Last updated
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1585 | NE | |
| Chiropractor | 111N00000X | 783 | WY | Primary |
| Chiropractor | 111N00000X | 1226 | SD |
Addresses
Primary practice location
201 W Lakeway Rd Ste 211
Gillette, WY 82718-6341
Mailing address
201 W Lakeway Rd Ste 211
Gillette, WY 82718-6341
Phone (307) 682-7885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, WY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 W Lakeway Rd
Suite 211
Gillette, WY 82718-6341
Phone (307) 682-7885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1226 | SD | MD | Chiropractor |
| 783 | WY | MD | Dental Hygienist |
| 1585 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aoc Medical LLC | Current | Accepting new patients | |
| Active Living Chiropractic P.C. | Chiropractor | Current | Accepting new patients |
| Active Life Family Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
138 E Hudson St
Spearfish, SD 57783
Phone (563) 639-9454
201 W Lakeway Rd
Ste 200
Gillette, WY 82718
Phone (307) 387-9850
201 W Lakeway Rd
Ste 211
Gillette, WY 82718
Phone (307) 217-2323
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Chiropractor
- Gillette, WY
- NPI 1801459581
-
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- Spearfish, SD
- NPI 1780915587
-
- Family Nurse Practitioner
- Gillette, WY
- NPI 1528612207
-
- Chiropractor
- Lincoln, NE
- NPI 1598922890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1649440157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W LAKEWAY RD STE 211",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827186341",
"telephone_number": "307-682-7885",
"fax_number": "307-682-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W LAKEWAY RD STE 211",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827186341",
"telephone_number": "307-682-7885",
"fax_number": "307-682-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "KARI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1585",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "783",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "1226",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.