Individual provider Active NPI

Ginger Kinchen, DC

  • Chiropractor
  • Bandera, TX
National Provider Identifier
1720088115
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6456 Issued in TX
Practice address
6135 State Hwy 173 N
Bandera, TX 78003
Phone
(830) 339-2620
NPI assigned
Jul 28, 2005
Reactivated
Mar 31, 2006
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6456 TX Primary

Addresses

Primary practice location

6135 State Hwy 173 N
Bandera, TX 78003

Mailing address

PO Box 2407
Bandera, TX 78003-2407
Phone (830) 339-2629

Other identifiers 1

IdentifierTypeStateIssuer
8J0090OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060227000487 TX Practitioner - Chiropractic 7012923196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Riverhill Club LN
Kerrville, TX 78028-6417
Phone (830) 339-2620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6456TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Mobile Chiropractic LLC Chiropractor CurrentSince Jun 1, 2020 Accepting new patients
Marshall Wellness Group Chiropractor PastSince Jun 1, 2008 Accepting new patients

Locations

100 Riverhill Club Ln
Kerrville, TX 78028
Phone (830) 339-2620

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1720088115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2407",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780032407",
            "telephone_number": "830-339-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 STATE HWY 173 N",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "78003",
            "telephone_number": "830-339-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCHEN",
        "first_name": "GINGER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J0090",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bandera, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.