Individual provider Active NPI

Kim W Hester, D.C.

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1023010097
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4186 Issued in OK
Practice address
6922 S Lewis
Tulsa, OK 74136
Phone
(918) 551-6567
Fax
(918) 508-7403
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4186 OK Primary

Addresses

Primary practice location

6922 S Lewis
Tulsa, OK 74136

Mailing address

6922 S Lewis Ave
Tulsa, OK 74136-3913
Phone (918) 551-6567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151013001800 OK Practitioner - Chiropractic 9830185206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13316 S Western Ave
Suite R
Oklahoma City, OK 73170-7310
Phone (405) 735-6754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Chiropractic Inc. Chiropractor CurrentSince Jan 28, 2019 Accepting new patients
Legacy Spine and Wellness PastSince Aug 14, 2019 Accepting new patients
Eastern Oklahoma Chiropractic, PLLC Chiropractor PastSince Mar 29, 2019 Accepting new patients

Locations

13316 S Western Ave
Ste R
Oklahoma City, OK 73170
Phone (405) 735-6754

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1023010097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6922 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363913",
            "telephone_number": "918-551-6567",
            "fax_number": "918-508-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6922 S LEWIS",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-551-6567",
            "fax_number": "918-508-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTER",
        "first_name": "KIM",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.