Kizzire Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KIZZIRE CHIROPRACTIC, LLC

Practice address

221 Box Butte Ave
Alliance, NE 69301-3741

Phone

(308) 671-1145

Fax

(308) 761-1143

NPI assigned

Jul 16, 2019

Organization subpart

No

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

Authorized official

Name

Nicholas Michael James KizzireNPI 1548635642

Title

Manging Member

Phone

(308) 672-7608

Specialties & licenses 1

Addresses

Other names 1

• Health 4 Life Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

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

• Nicholas Michael James Kizzire, D.C.

  • Chiropractor
  • Alliance, NE
  • NPI 1548635642
  Medicare reassignment NPD Authorized official
• Scott Fredrick Ruff, D.C.

  • Chiropractor
  • Scottsbluff, NE
  • NPI 1487853388
  NPD

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1295387587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BOX BUTTE AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013741",
            "telephone_number": "308-761-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BOX BUTTE AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013741",
            "telephone_number": "308-671-1145",
            "fax_number": "308-761-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIZZIRE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "KIZZIRE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "MICHAEL JAMES",
        "authorized_official_title_or_position": "MANGING MEMBER",
        "authorized_official_telephone_number": "308-672-7608"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health 4 Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin E Kesterson, RD, LMNT, CDE
• Keystone RX Corporation Inc
• Ami Kim
• Melissa Ann Kinser
• Bethany Corine Kiser, LIMHP, LMHP, LPC
• Nicholas Michael James Kizzire, D.C.
• James Edward Knaggs
• Shay Knapp
• Jessica Anne Kotopka, PA-C
• Timothy Ray Kotschwar, PHARM.D.

• Chiropractor in Alliance, NE
• Providers in Alliance, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.