Jensen Chiropractic and Wellness PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA1565 Issued in ID

Legal business name

JENSEN CHIROPRACTIC AND WELLNESS PLLC

Doing business as

Jensen Chiropractic and Wellness

Practice address

533 S Middleton Rd
Suite 102
Middleton, ID 83644-6013

Phone

(208) 585-3000

Fax

(208) 585-2222

NPI assigned

Sep 10, 2013

Last updated

Sep 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Dean Jensen, D.C.NPI 1114351665

Title

Chiropractic Physician

Phone

(208) 585-3000

Specialties & licenses 1

Addresses

Other names 1

• Jensen Chiropractic and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

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.

• Kenneth Dean Jensen, D.C.

  • Chiropractor
  • Middleton, ID
  • NPI 1114351665
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1720413792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S MIDDLETON RD",
            "address_2": "SUITE 102",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836446013",
            "telephone_number": "208-585-3000",
            "fax_number": "208-585-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S MIDDLETON RD",
            "address_2": "SUITE 102",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836446013",
            "telephone_number": "208-585-3000",
            "fax_number": "208-585-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN CHIROPRACTIC AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "208-585-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jensen Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lew House, LCPC
• Jonathan Read Hughes
• Alisha Hunt, LCSW
• Autumn Hutchison, B.S.
• Icare Supported Living, Inc.
• Kenneth Dean Jensen, D.C.
• Scott Richard Jordan, DMD
• Meghann Elaine Kalliokoski, DNP
• Erin Keller, FNP
• Kristine P Kingery, PA-C

• Chiropractor in Middleton, ID
• Providers in Middleton, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.