Michael John Kirk Sr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00177000 Issued in NJ

Practice address

900 Newark Ave
Forked River, NJ 08731-1012

Phone

(609) 604-6005

NPI assigned

Jul 27, 2022

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1164158671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 CLAIR RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087313400",
            "telephone_number": "609-339-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NEWARK AVE",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311012",
            "telephone_number": "609-604-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_suffix": "Sr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00177000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• King Sleep Center
• Cynthia Virginia King, D.C.
• King's Mindfulness Center
• Kirk Optometry, LLC
• James Kirk, D.C.
• Tara Joanne Weisbeck Kirk, OD
• Kyla Kleban, DC
• Jessica Kolk, M.S., CCC-SLP
• Kristen Huber, LLP
• Emily Kulesza, OTR/L

• Chiropractor in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.