Individual provider Active NPI

Seth Kintigh

  • Chiropractor
  • Fruitport, MI
National Provider Identifier
1063001535
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301011045 Issued in MI
Practice address
14 S 3Rd Ave
Fruitport, MI 49415-9699
Phone
(517) 750-9150
NPI assigned
Jan 11, 2021
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301011045 MI Primary

Addresses

Primary practice location

14 S 3Rd Ave
Fruitport, MI 49415-9699

Mailing address

1875 Channel Rd
Norton Shores, MI 49441-5215

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210127003066 MI Practitioner - Chiropractic 0840604120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 S 3Rd Ave
Fruitport, MI 49415-9699
Phone (231) 366-6035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301011045MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kintigh Chiropractic LLC Chiropractor CurrentSince Jan 10, 2022 Accepting new patients

Locations

14 S 3rd Ave
Fruitport, MI 49415
Phone (231) 366-6035

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1063001535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 CHANNEL RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S 3RD AVE",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159699",
            "telephone_number": "517-750-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTIGH",
        "first_name": "SETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitport, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.