Individual provider Active NPI

Kevin Corbin Kirkling, DC

  • Chiropractor
  • Mooresville, IN
National Provider Identifier
1114931508
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
080000626A Issued in IN
Practice address
30 Spring Mill CT
Mooresville, IN 46158-1790
Phone
(317) 831-3877
Fax
(317) 831-4748
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 080000626A IN Primary

Addresses

Primary practice location

30 Spring Mill CT
Mooresville, IN 46158-1790

Mailing address

30 Spring Mill CT
Mooresville, IN 46158-1790
Phone (317) 831-3877

Other identifiers 1

IdentifierTypeStateIssuer
000000085957OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080000626AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1114931508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SPRING MILL CT",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581790",
            "telephone_number": "317-831-3877",
            "fax_number": "317-831-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SPRING MILL CT",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581790",
            "telephone_number": "317-831-3877",
            "fax_number": "317-831-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLING",
        "first_name": "KEVIN",
        "middle_name": "CORBIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "080000626A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000085957",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.