Kevin Robert Fitzgerald, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0105302 Issued in KS

Practice address

14300 Metcalf Ave Ste 103
Overland Park, KS 66223-2906

Phone

(913) 710-5024

NPI assigned

Sep 15, 2009

Last updated

Apr 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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

• Fitzgerald Chiropractic L.L.C.

  • Clinic/Center
  • Overland Park, KS
  • NPI 1609450675
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1063745560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 METCALF AVE STE 103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232906",
            "telephone_number": "913-710-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 METCALF AVE STE 103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232906",
            "telephone_number": "913-710-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KEVIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fit Muscle & Joint Clinic LLC
• Tramiah Nykol Fitts
• Fitzgerald Chiropractic L.L.C.
• Casey Lee Fitzgerald, OT-R
• Jennifer Fitzgerald, D.O.
• James G Fitzsimmons, M.D.
• Josh Fitzwater-Burch
• Five Star Overland Park LLC (The Forum at Overland Park)
• Five Star Rehabilitation and Wellness Services, LLC. (Ageility Physical Therapy Solutions at Overland Park)
• Mary Mackenzie Flachsbarth

• Chiropractor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.