Individual provider Active NPI

Steven John Kicinski, D.C.

  • Chiropractor
  • Plano, TX
National Provider Identifier
1144352675
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7245 Issued in TX
Practice address
6020 W Parker Rd
Suite 200
Plano, TX 75093-8171
Phone
(972) 608-5000
Fax
(972) 608-5020
NPI assigned
Mar 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7245 TX Primary

Addresses

Primary practice location

6020 W Parker Rd
Suite 200
Plano, TX 75093-8171

Mailing address

4016 Old Benbrook Rd
Benbrook, TX 76116-7810
Phone (214) 912-1044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000459 TX Practitioner - Chiropractic 5193814838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curis Functional HealthGroup PAC ID 6709207590, 42 clinicians

Practice addresses (Care Compare)

3602 Matlock Rd
Suite 204
Arlington, TX 76015-3600
Phone (817) 274-7776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curis Functional Health Chiropractor CurrentSince Mar 1, 2020 Accepting new patients

Locations

3602 Matlock Rd
Ste 204
Arlington, TX 76015
Phone (817) 274-7776

4801 Frankford Rd
Ste 300
Dallas, TX 75287
Phone (214) 390-3259

221 Regency Pkwy
Ste 101
Mansfield, TX 76063
Phone (817) 453-0430

211 W McLeroy Blvd
Saginaw, TX 76179
Phone (214) 390-3259

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": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1144352675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 OLD BENBROOK RD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761167810",
            "telephone_number": "214-912-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938171",
            "telephone_number": "972-608-5000",
            "fax_number": "972-608-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICINSKI",
        "first_name": "STEVEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-10",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.