Mark G Kimble, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

933 Issued in SC

Practice address

518 North Ave
Rock Hill, SC 29732-3384

Phone

(803) 327-6155

Fax

(803) 327-5062

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1023189438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 NORTH AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323384",
            "telephone_number": "803-327-6155",
            "fax_number": "803-327-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 NORTH AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323384",
            "telephone_number": "803-327-6155",
            "fax_number": "803-327-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "MARK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7392163",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH122",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0933",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa M. Kibbe, M.ED., LPC, LCAS
• Lauren Kidd
• Latreece Sarena Kilgo, LPCA
• Megan Killmeyer
• Ann Kimball, PTA
• Madison Kimbrell, RBT
• Sallie L Kimbrell
• Caroleyna C Kimrey, SAS, PSS
• Kind Dental,LLC
• Aryn Brooke King

• Chiropractor in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.