Kris A Kinsley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

XO04945-1 Issued in NY

Practice address

551 Broad St
Waverly, NY 14892-1502

Phone

(607) 565-9212

NPI assigned

May 8, 2006

Last updated

Jan 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1285683334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 BROAD ST",
            "city": "WAVERLY",
            "state": "NY",
            "postal_code": "148921502",
            "telephone_number": "607-565-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 BROAD ST",
            "city": "WAVERLY",
            "state": "NY",
            "postal_code": "148921502",
            "telephone_number": "607-565-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSLEY",
        "first_name": "KRIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "XO04945-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Omamode Idahosa, MD
• Thomas Daniel Jagger, MD
• Jeremiah Kane, OTR L
• Nancy S. Kemp, FNP
• Saeed-Uz Zafar Khan, M.D.
• Kyle John Kinsley, DC
• Juliane C Koehler, PTA
• Jennifer Anne Kozemko, OTR/L, CLT
• Sandra Siewert Laats
• Jane A. Lane, LCSW

• Chiropractor in Waverly, NY
• Providers in Waverly, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.