Active NPI
Kenneth William Rynearson, D.C,
- Chiropractor
- Grand Blanc, MI
National Provider Identifier
1881092823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010265
- Practice address
- 8285 S Saginaw St
Unit 7
Grand Blanc, MI 48439-2468 - Phone
- (810) 603-2200
- Fax
- (810) 603-2201
- NPI assigned
- Dec 8, 2014
- Last updated
- Jan 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 2301010265 | MI | Primary |
Addresses
Primary practice location
8285 S Saginaw St
Unit 7
Grand Blanc, MI 48439-2468
Mailing address
8285 S Saginaw St
Unit 7
Grand Blanc, MI 48439-2468
Phone (810) 603-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1881092823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8285 S SAGINAW ST",
"address_2": "UNIT 7",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392468",
"telephone_number": "810-603-2200",
"fax_number": "810-603-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8285 S SAGINAW ST",
"address_2": "UNIT 7",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392468",
"telephone_number": "810-603-2200",
"fax_number": "810-603-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYNEARSON",
"first_name": "KENNETH",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-08",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.