Individual provider Active NPI

Jena Louise Kittle, D.C.

  • Chiropractor
  • Olathe, KS
National Provider Identifier
1902997828
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04987 Issued in KS
Practice address
12049 S Strang Line Rd
Olathe, KS 66062-5256
Phone
(913) 768-4455
Fax
(913) 393-3729
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-04987 KS Primary

Addresses

Primary practice location

12049 S Strang Line Rd
Olathe, KS 66062-5256

Mailing address

12049 S Strang Line Rd
Olathe, KS 66062-5256
Phone (913) 768-4455

Other identifiers 3

IdentifierTypeStateIssuer
P002997828OtherKSRAILROAD MEDICARE
36135016OtherKSBCBS PROVIDER #
36098018OtherKSBCBS GROUP BILLING #

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

State licenses

LicenseStateTypeSpecialty
01-04987KSMDChiropractor

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1902997828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12049 S STRANG LINE RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625256",
            "telephone_number": "913-768-4455",
            "fax_number": "913-393-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12049 S STRANG LINE RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625256",
            "telephone_number": "913-768-4455",
            "fax_number": "913-393-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTLE",
        "first_name": "JENA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P002997828",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "36135016",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP BILLING #",
            "identifier": "36098018",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.