Jonah Kilty Chiropractic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4380-012 Issued in WI

Legal business name

JONAH KILTY CHIROPRACTIC SC

Practice address

404 E 4TH St
Marshfield, WI 54449-3717

Phone

(715) 389-1262

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jonah Kilty, DCNPI 1285810390

Title

Owner

Phone

(715) 389-1262

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Jonah J Kilty, DC

  • Chiropractor
  • Marshfield, WI
  • NPI 1285810390
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1205294071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 4TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544493717",
            "telephone_number": "715-389-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 4TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544493717",
            "telephone_number": "715-389-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONAH KILTY CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "KILTY",
        "authorized_official_first_name": "JONAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-389-1262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4380-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38182800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L Johnson, M.D.
• Holly Johnson
• Megan M. Johnson, NP
• Peter Johnson, MD
• Sheila Marie Johnson, LCSW
• Daniella Catherine Jordan
• Sarah Jorgensen, PHARMD
• Calvin Jose
• Todd Wilcher Joseph, LPC, CSAC
• Gloria Josephson

• Chiropractor in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.