Individual provider Active NPI

Kenneth Alan Meye, D.C.

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1861700338
Registry record updated Sep 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 60170535 Issued in WA
Practice address
3315 Jersey Ridge Rd
#1124
Davenport, IA 52807-2057
Phone
(563) 343-8563
NPI assigned
Sep 18, 2010
Last updated
Sep 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 60170535 WA Primary

Addresses

Primary practice location

3315 Jersey Ridge Rd
#1124
Davenport, IA 52807-2057

Mailing address

3315 Jersey Ridge Rd
#1124
Davenport, IA 52807-2057
Phone (563) 343-8563

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218001575 AK Practitioner - Chiropractic 0345427126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stanley Health Clinics PCGroup PAC ID 5294625703, 2 clinicians

Practice addresses (Care Compare)

546 N Main St
Wasilla, AK 99654-7019
Phone (907) 376-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 60170535WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Meye Chiropractic, PLLC Chiropractor CurrentSince Feb 1, 2011 Accepting new patients
Stanley Health Clinics PC Chiropractor CurrentSince Nov 20, 2024 Accepting new patients

Locations

546 N Main St
Wasilla, AK 99654
Phone (907) 376-2600

1344 King St
Ste 101
Bellingham, WA 98229
Phone (360) 676-6393

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": "1284768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284768000000",
    "number": "1861700338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 JERSEY RIDGE RD",
            "address_2": "#1124",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072057",
            "telephone_number": "563-343-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 JERSEY RIDGE RD",
            "address_2": "#1124",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072057",
            "telephone_number": "563-343-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYE",
        "first_name": "KENNETH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-18",
        "last_updated": "2010-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60170535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2010; 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.