DR. JEFFREY FENN (NPI# 1023292604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023292604 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY FENN |
| Credential | D.C. |
| Practice Address |
6224 Shadybrook St Wichita KS 67208-1844 |
| Practice Telephone | 3166839500 |
| Practice Fax Number | 3166839502 |
| Mailing Telephone | 3166839500 |
| Mailing Fax Number | 3166839502 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2008-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 01-05-163 | KS | Chiropractic Providers |
| N | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
01-05-163 | KS | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457353369 | Jeffrey M Fenn | Anesthesiology | 9127 W Russell Rd Ste 110, Las Vegas, NV 89148-1253 | 2005-08-10 |
| 1427460575 | Jeffrey Fenn | Dentist | 1923 Marsha Sharp Fwy, Lubbock, TX 79415-4036 | 2014-05-23 |
| Street Address |
6224 SHADYBROOK ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881969046 | Zita Mason | Clinical Nurse Specialist | 6224 Shadybrook St, Wichita, KS 67208-1844 | 2012-03-20 |
| 1093086423 | Wellness Strategies, LLC | Non-Pharmacy Dispensing Site | 6224 Shadybrook St, Wichita, KS 67208-1844 | 2012-01-17 |
| 1871802165 | Whw Inc | Chiropractor | 6224 Shadybrook St, Wichita, KS 67208-1844 | 2010-10-04 |
| 1962644203 | Wellness Industries P.a. | Chiropractor | 6224 Shadybrook St, Wichita, KS 67208-1844 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652544 | Savannah Howell | Chiropractor | 2755 N Maize Rd Ste 107, Wichita, KS 67205-7327 | 2019-07-31 |
| 1508418914 | Ryan Grenier | Chiropractor | 3017 N Cypress St Ste B, Wichita, KS 67226-4026 | 2019-07-15 |
| 1316503691 | Jessica Ann Marie Gault | Chiropractor | 8641 W 13th St N Ste 107, Wichita, KS 67212-6280 | 2019-05-13 |
| 1972072064 | Boneworkz, LLC | Chiropractor | 211 S Tyler Rd, Wichita, KS 67209-1433 | 2018-11-19 |
| 1396248555 | Anthony Barta | Chiropractor | 8440 E 29th St N Ste 100, Wichita, KS 67226-3407 | 2018-03-14 |
| 1841790649 | Wichita Chiropractic and Physical Therapy Clinic Inc | Chiropractor | 125 S West St Ste 117, Wichita, KS 67213-2114 | 2018-02-19 |
| 1104334325 | Ryan M Simpson | Chiropractor | 8526 W 13th St N Ste 170, Wichita, KS 67212-2990 | 2018-01-22 |
| 1740796218 | Gawith Chiropractic LLC | Chiropractor | 2020 N Webb Rd Ste 102, Wichita, KS 67206-3408 | 2017-12-20 |
| 1326557075 | Stanley Chiropractic LLC | Chiropractor | 555 N Mclean Blvd Ste 302, Wichita, KS 67203-5815 | 2017-09-26 |
| 1932637154 | Dustin R Hague | Chiropractor | 2604 W 9th St N Ste 100, Wichita, KS 67203-4792 | 2017-06-01 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.