Timothy J Kistler, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3594 Issued in MA

Practice address

111 Willard St Ste 2a
Quincy, MA 02169-1274

Phone

(617) 804-7464

Fax

(617) 471-1114

NPI assigned

Jan 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MA, SC2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Augusta Chiropractic LLCGroup PAC ID 9234357864, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Augusta Chiropractic, LLC

  • Chiropractor
  • North Augusta, SC
  • NPI 1598178709
  Medicare reassignment Care Compare group NPD
• Life Clinic of Ma PC

  • Chiropractor
  • Chestnut Hill, MA
  • NPI 1225568975
  Medicare reassignment NPD
• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334
  Medicare reassignment
• Active Chiropractic Clinic Inc

  • Sports Physician Chiropractor
  • Indianapolis, IN
  • NPI 1427233485
  NPD (past) Authorized official
• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Franklin, MA
  • NPI 1821108549

  Chiropractor

  NPD
• Gateway Chiropractic & Occupational Health Center

  • Sports Physician Chiropractor
  • Leominster, MA
  • NPI 1609235886
  NPD (past)

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1043366347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST",
            "address_2": "STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "317-826-2273",
            "fax_number": "317-826-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WILLARD ST STE 2A",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691274",
            "telephone_number": "617-804-7464",
            "fax_number": "617-471-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5845 Sunnyside Rd",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462358402",
            "country_code": "US",
            "telephone_number": "317-826-2273",
            "fax_number": "317-826-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISTLER",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IN",
            "license": "08001237",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00006924",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000344943",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200077400A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4351909",
            "identifier": "AETNA",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6904776002",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Burns Kingsbury, LMHC
• Laura Kirschner
• Rohan Shantanu Kirtane, D.M.D, A.E.G.D
• Dawayne D Kirton Jr.
• Sally Kiss, LICSW
• Janyce G Kittler, LICSW
• Bridget L Kittredge, L.D.O.
• Maria M Klisiaris, M.ED.
• Melinda Jean Kneeland
• Wendy B Knight, LICSW

• Chiropractor in Quincy, MA
• Providers in Quincy, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.