MEDICARE: JOY DENIGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	12476	AR

General Provider Information

NPI Number	:	1699608323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY DENIGAN

Provider Business Mailing Address
First Line	:	12204 BUENA VISTA ST
Second Line	:
City	:	LEAWOOD
State	:	KS
Zip	:	66209-1509
Country	:	US
Telephone Number	:	719-744-9199
Fax Number	:

Provider Business Practice Location Address
First Line	:	5316 YACHT HAVEN GRANDE # N107
Second Line	:
City	:	ST THOMAS
State	:	VI
Zip	:	00802-5027
Country	:	US
Telephone Number	:	304-407-2911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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