Organization Active NPI

Kintop Inc

  • Chiropractor
  • Superior, WI
National Provider Identifier
1053675967
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2720012 Issued in WI
Legal business name
KINTOP INC
Practice address
2425 Tower Ave
Superior, WI 54880-4841
Phone
(715) 392-3352
Fax
(715) 718-0669
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Dr. Thomas M Kintop, D.C.NPI 1164563433
Title
President
Phone
(715) 392-3352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2720012 WI Primary

Addresses

Primary practice location

2425 Tower Ave
Superior, WI 54880-4841

Mailing address

2425 Tower Ave
Superior, WI 54880-4841
Phone (715) 392-3352

Other identifiers 1

IdentifierTypeStateIssuer
38865800MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130102000214 WI Part B Supplier - Clinic/Group Practice 3476706342 Receives reassigned benefits from 1 practitioner
Practice locations: Superior, WI

National Provider Directory

National Provider Directory

Locations

3712 Tower Ave
Ste D
Superior, WI 54880
Phone (715) 392-3352

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1053675967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548804841",
            "telephone_number": "715-392-3352",
            "fax_number": "715-718-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548804841",
            "telephone_number": "715-392-3352",
            "fax_number": "715-718-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "KINTOP",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-392-3352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2720012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38865800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.