Harold D. Kistner Construction Company, Inc.

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

00020118 Issued in TN

Legal business name

HAROLD D. KISTNER CONSTRUCTION COMPANY, INC.

Practice address

725 Dakota Rd
Bristol, VA 24201-2911

Phone

(276) 669-7724

Fax

(276) 669-1116

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Reed Kistner

Title

Sec., Treas.

Phone

(276) 669-7724

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083824379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 DAKOTA RD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242012911",
            "telephone_number": "276-669-7724",
            "fax_number": "276-669-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 DAKOTA RD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242012911",
            "telephone_number": "276-669-7724",
            "fax_number": "276-669-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD D. KISTNER CONSTRUCTION COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KISTNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "SEC., TREAS.",
        "authorized_official_telephone_number": "276-669-7724",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "TN",
            "license": "00020118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF TENNCARE",
            "identifier": "0445837",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.