Active NPI
Thomas B Kivisto, DC
- Chiropractor
- Overland Park, KS
National Provider Identifier
1043442155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05274
- Practice address
- 10628 W 87TH St
Overland Park, KS 66214-1651 - Phone
- (913) 859-0282
- Fax
- (913) 859-0283
- NPI assigned
- Aug 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05274 | KS | Primary |
Addresses
Primary practice location
10628 W 87TH St
Overland Park, KS 66214-1651
Mailing address
10628 W 87TH St
Overland Park, KS 66214-1651
Phone (913) 859-0282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05274 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250985600000",
"number": "1043442155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10628 W 87TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662141651",
"telephone_number": "913-859-0282",
"fax_number": "913-859-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10628 W 87TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662141651",
"telephone_number": "913-859-0282",
"fax_number": "913-859-0283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIVISTO",
"first_name": "THOMAS",
"middle_name": "B",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-23",
"last_updated": "2009-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.