Kimberly K Kidner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008659 Issued in IL

Practice address

402 N. Plum St.
Pontiac, IL 61764-9786

Phone

(815) 844-4631

Fax

(815) 844-1942

NPI assigned

Oct 18, 2006

Sex

Female

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 IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livingston County Chiropractic Center LTDGroup PAC ID 6002804937, 4 clinicians

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 and National Provider Directory roles.

• Livingston County Chiropractic Center, LTD.

  • Chiropractor
  • Pontiac, IL
  • NPI 1225181407
  Medicare reassignment Care Compare group Authorized official
• Downstate Chiropractic Center

  • Chiropractor
  • Mahomet, IL
  • NPI 1730391269
  NPD (past) Authorized official
• Whole Body Medical Wellness LTD

  • General Practice Physician
  • Pontiac, IL
  • NPI 1336687771
  NPD
• Forward Living LTD

  • Chiropractor
  • Bloomington, IL
  • NPI 1184856973
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1093896680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N PLUM ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641817",
            "telephone_number": "815-844-4631",
            "fax_number": "815-844-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N. PLUM ST.",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649786",
            "telephone_number": "815-844-4631",
            "fax_number": "815-844-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDNER",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew D Jordan, DDS
• Kenneth N Jordan, DO
• Arianne M Kaack, PHARMD
• Katie Kennedy
• Misty Kessinger, BS
• Laurel Kietzman, MD
• Robert W Kinas, LCPC
• John Kincinas, PA
• Kind Living Therapy, LLC
• Kianna R Klendworth, BS

• Chiropractor in Pontiac, IL
• Providers in Pontiac, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.