Active NPI
Kayla Marie Jentes, DC
- Chiropractor
- Selma, NC
National Provider Identifier
1861075624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5279
- Practice address
- 102 W Anderson St
Selma, NC 27576-2562 - Phone
- (919) 351-5787
- NPI assigned
- Apr 29, 2021
- Last updated
- Apr 29, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5279 | NC | Primary |
Addresses
Primary practice location
102 W Anderson St
Selma, NC 27576-2562
Mailing address
102 W Anderson St
Selma, NC 27576-2562
Phone (919) 351-5787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brio Wellness PLLC | Chiropractor | Current | Accepting new patients |
Locations
102 W Anderson St
Selma, NC 27576
Phone (919) 351-5787
805 N Pollock St
Selma, NC 27576
Phone (919) 351-5787
Organizations & group practices 1
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.
-
- Chiropractor
- Selma, NC
- NPI 1063095222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1861075624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 W ANDERSON ST",
"city": "SELMA",
"state": "NC",
"postal_code": "275762562",
"telephone_number": "919-351-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W ANDERSON ST",
"city": "SELMA",
"state": "NC",
"postal_code": "275762562",
"telephone_number": "919-351-5787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENTES",
"first_name": "KAYLA",
"middle_name": "MARIE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-29",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "5279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selma, NC
- Carolyn Noelle Hollifield, MS CCC SLP
- Home Life Care Inc
- Mallori Hoover, RN, IBCLC
- Hope Center Outpatient Services LLC
- Thomas Lloyd Jackson, DPT
- Frances Casey Liverman Johnson, PHARM D
- Jocelyn-Marie A Johnson
- Thomas Oral Johnson, D.D.S.
- Johnston County Industries, Inc.
- Johnston County Industries, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.