Organization Active NPI

Kissel Chiropractic LLC

  • Chiropractor
  • East Lyme, CT
National Provider Identifier
1164516258
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001384 Issued in CT
Legal business name
KISSEL CHIROPRACTIC LLC
Practice address
314 Flanders Rd
East Lyme, CT 06333-1727
Phone
(860) 739-3600
Fax
(860) 739-3601
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Stephen Charles Kissel, D.C.
Title
Manager
Phone
(860) 391-3915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 001384 CT Primary

Addresses

Primary practice location

314 Flanders Rd
East Lyme, CT 06333-1727

Mailing address

314 Flanders Rd
East Lyme, CT 06333-1727
Phone (860) 739-3600

National Provider Directory

National Provider Directory

Locations

314 Flanders Rd
East Lyme, CT 06333
Phone (860) 739-3011

782 Norwich Rd
Plainfield, CT 06374
Phone (860) 391-3915

912 Norwich New London Tpke
Uncasville, CT 06382
Phone (860) 848-1400

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1164516258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FLANDERS RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331727",
            "telephone_number": "860-739-3600",
            "fax_number": "860-739-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FLANDERS RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331727",
            "telephone_number": "860-739-3600",
            "fax_number": "860-739-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSEL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "KISSEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-391-3915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lyme, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.