Designed Life Chiropractic PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DESIGNED LIFE CHIROPRACTIC PS

Practice address

2909 S Quillan St Ste 158
Kennewick, WA 99337-2437

Phone

(541) 604-2829

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Mariah Louise Kilps, DC

Title

Co-Owner

Phone

(541) 604-2829

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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.

• Daniel Jacob Kilps, DC

  • Chiropractor
  • Kennewick, WA
  • NPI 1508369257
  Medicare reassignment NPD

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1255834909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 CANYON ST APT 206",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 S QUILLAN ST STE 158",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372437",
            "telephone_number": "541-604-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNED LIFE CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "KILPS",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "541-604-2829",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Gemini PLLC
• Desert Sage Psychiatry
• Desert Sky Womens Healthcare Inc
• Desert Wind Counseling, PLLC
• Amanda J Deshazo, MS
• Bailee Renee Dettrey
• Jacob Dewulf
• Dexter B Brown DDS Ms
• Amita V. Dhatrika, M.D.
• Diagnostic Imaging Associates

• Chiropractor in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.