Individual provider Active NPI

Zachary Taylor Kiendl, DC

  • Chiropractor
  • Jamestown, NY
National Provider Identifier
1104462050
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013309 Issued in NY
Practice address
107 Institute St
Jamestown, NY 14701-6628
Phone
(716) 484-4334
NPI assigned
Nov 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013309 NY Primary

Addresses

Primary practice location

107 Institute St
Jamestown, NY 14701-6628

Mailing address

107 Institute St
Jamestown, NY 14701-6628
Phone (716) 484-4334

Other practice location 1

75 E 3rd St
Dunkirk, NY 14048-2239
Phone (716) 363-6050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205001553 NY Practitioner - Chiropractic 8325474638 Reassigns benefits to 1 organization
Practice locations: Jamestown, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Chautauqua Center IncGroup PAC ID 7214178326, 35 clinicians

Practice addresses (Care Compare)

1134 Central Ave
Dunkirk, NY 14048-3423
Phone (716) 366-6036

51 E 3Rd St
Dunkirk, NY 14048-2201
Phone (716) 363-2244

75 E 3Rd St
Dunkirk, NY 14048-2239
Phone (716) 363-6050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Chautauqua Center, Inc CurrentSince Aug 5, 2021 Accepting new patients
Strong Spine Chiropractic PLLC Chiropractor CurrentSince Mar 11, 2025 Accepting new patients
Chautauqua PT OT & SLP Professionals PLLC Past Accepting new patients

Locations

1134 Central Ave
Dunkirk, NY 14048
Phone (716) 366-6036

107 Institute St
Jamestown, NY 14701
Phone (716) 484-4334

25 Harrison St
Jamestown, NY 14701
Phone (716) 488-2534

Interoperability endpoints

  • Direct secure messaging: zachary.kiendl.1@22211.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1104462050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 INSTITUTE ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016628",
            "telephone_number": "716-484-4334",
            "fax_number": "833-974-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 INSTITUTE ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016628",
            "telephone_number": "716-484-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "NY",
            "postal_code": "140482239",
            "country_code": "US",
            "telephone_number": "716-363-6050",
            "fax_number": "833-974-1992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIENDL",
        "first_name": "ZACHARY",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-25",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.