Organization Active NPI

Kaiser Chiropractic Center, Inc

  • Chiropractor
  • Millburn, NJ
National Provider Identifier
1174854855
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00632400 Issued in NJ
Legal business name
KAISER CHIROPRACTIC CENTER, INC
Practice address
276 Essex St
Millburn, NJ 07041-1314
Phone
(973) 376-5522
NPI assigned
Jan 20, 2010
Last updated
Feb 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Dr. Mitchel Kaiser, D.C.NPI 1205925062
Title
Ceo
Phone
(973) 376-5522

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 38MC00632400 NJ Primary

Addresses

Primary practice location

276 Essex St
Millburn, NJ 07041-1314

Mailing address

276 Essex St
Millburn, NJ 07041-1314

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100215000106 NJ Part B Supplier - Clinic/Group Practice 8628112620 Receives reassigned benefits from 1 practitioner
Practice locations: Millburn, NJ

National Provider Directory

National Provider Directory

Locations

276 Essex St
Millburn, NJ 07041
Phone (973) 376-5522

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1174854855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 ESSEX ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 ESSEX ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411314",
            "telephone_number": "973-376-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-376-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00632400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.