NPIMap

Organization Active NPI

Kirkwood Pain & Injury Chiropracitc Center

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1134544836
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000881 Issued in DE
Legal business name
KIRKWOOD PAIN & INJURY CHIROPRACITC CENTER
Practice address
4708 Kirkwood Highway
Ground Floor
Wilmington, DE 19808
Phone
(302) 633-3376
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Jean LaineNPI 1972792760
Title
President
Phone
(302) 633-3376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F1-0000881 DE Primary

Addresses

Primary practice location

4708 Kirkwood Highway
Ground Floor
Wilmington, DE 19808

Mailing address

4708 Kirkwood Highway
Ground Floor
Wilmington, DE 19808

National Provider Directory

National Provider Directory

Locations

4708 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 633-3376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1134544836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 KIRKWOOD HIGHWAY",
            "address_2": "GROUND FLOOR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 KIRKWOOD HIGHWAY",
            "address_2": "GROUND FLOOR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-633-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD PAIN & INJURY CHIROPRACITC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "LAINE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-633-3376"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.