Individual provider Active NPI

Kimberly Snider, DC

  • Chiropractor
  • High Point, NC
National Provider Identifier
1043645971
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4402 Issued in NC
Practice address
1623 York Ave
Ste. 101
High Point, NC 27265-2311
Phone
(336) 882-2434
Fax
(336) 882-4747
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4402 NC Primary

Addresses

Primary practice location

1623 York Ave
Ste. 101
High Point, NC 27265-2311

Mailing address

140 James Rd
Unit 3D
High Point, NC 27265-2198
Phone (704) 575-9364

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

LicenseStateTypeSpecialty
4402NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel John Fonke Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1043645971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 JAMES RD",
            "address_2": "UNIT 3D",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652198",
            "telephone_number": "704-575-9364",
            "fax_number": "336-882-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 YORK AVE",
            "address_2": "STE. 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652311",
            "telephone_number": "336-882-2434",
            "fax_number": "336-882-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.