Michael B Jennings, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

4566 Issued in KS

Practice address

1907 Washington St
Great Bend, KS 67530-2425

Phone

(620) 792-6854

Fax

(620) 792-6841

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jennings Chiropractic & Kinesiology PA

  • Chiropractor
  • Great Bend, KS
  • NPI 1508051707

  KS, Nutrition

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972683530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 WASHINGTON ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302425",
            "telephone_number": "620-792-6854",
            "fax_number": "620-792-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 WASHINGTON ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302425",
            "telephone_number": "620-792-6854",
            "fax_number": "620-792-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "KS",
            "license": "4566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M Hurd, SLP
• Marsena Grace Irvine, LMSW
• Sarah Irwin, M.S., CCC-SLP
• Dana A Jackson, PA-C
• Jennings Chiropractic & Kinesiology PA
• Sally J. Jensen, TMFT
• Jennifer J Johnson, TLPC
• Kelley Lynn Johnson, LCPC-S, LCAC
• Ruth E Johnson, COTA
• Dalton Jones

• All providers in Great Bend, KS
• Nutrition Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.