Active NPI
Charles Clinton Kilgore, DC
- Chiropractor
- Torrington, WY
National Provider Identifier
1225247646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 459
- Practice address
- 127 West 21St Avenue
Torrington, WY 82240 - Phone
- (307) 532-5464
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 459 | WY | Primary |
Addresses
Primary practice location
127 West 21St Avenue
Torrington, WY 82240
Mailing address
127 West 21St Avenue
Torrington, WY 82240
Phone (307) 532-5464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225247646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 WEST 21ST AVENUE",
"city": "TORRINGTON",
"state": "WY",
"postal_code": "82240",
"telephone_number": "307-532-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 WEST 21ST AVENUE",
"city": "TORRINGTON",
"state": "WY",
"postal_code": "82240",
"telephone_number": "307-532-5464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGORE",
"first_name": "CHARLES",
"middle_name": "CLINTON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrington, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.