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KENNETH MICHAEL DUDLEY D.C.
NPI 1124107529
Chiropractor in California, MO

Active since November 04, 2006Accepts Medicare Assignment
1021 W BUCHANAN ST STE 17, CALIFORNIA, MO 65018(573) 796-8150(573) 796-8140 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Michael Dudley D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH MICHAEL DUDLEY D.C. (NPI 1124107529) is an individual chiropractor in California, Missouri, licensed in Missouri (006298) and active in the NPI registry since November 2006. He is a graduate of Cleveland Chiropractic College - Kansas City (1994).

NPPES Registry Identity

NPI1124107529
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKENNETH MICHAEL DUDLEYCredential: D.C.
Location Address1021 W BUCHANAN ST STE 17California, MO 65018-1238
Mailing Address1021 W Buchanan St Ste 17California, MO 65018-1238 · (573) 796-8150 · Fax (573) 796-8140
Phone(573) 796-8150
Fax(573) 796-8140
Sole ProprietorYes
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 1994
Enumeration DateNovember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124107529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 006298
Definition
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.
1021 W BUCHANAN ST STE 17, California, MO 65018
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Other Identifiers 3

Other610798MO · American Chiropractic Net
Other245812MO · Healthlink
Other31977MO · Bluecross Blueshield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Michael Dudley D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466629613
PECOS Enrollment IDI20120111000791

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
318 services77 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Dudley's NPI number?

The NPI number for Kenneth Dudley is 1124107529. It was assigned to this individual provider in the NPPES registry on November 4, 2006.

Where is Kenneth Dudley located?

Kenneth Dudley practices at 1021 W Buchanan St Ste 17, California, MO 65018. The listed phone number is (573) 796-8150.

What is Kenneth Dudley's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kenneth Dudley enrolled in Medicare?

Yes. Kenneth Dudley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Dudley accept?

Health plans from Anthem Blue Cross and Blue Shield, Providence Health Plan and UnitedHealthcare list Kenneth Dudley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Dudley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.