Organization Active NPI

K D Chiropractic PLLC

Doing business as Deimler Chiropractic

  • Chiropractor
  • Newport, PA
National Provider Identifier
1295399335
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
K D CHIROPRACTIC PLLC
Doing business as
Deimler Chiropractic
Practice address
223 Mulberry St
Newport, PA 17074-1421
Phone
(717) 567-3158
NPI assigned
Apr 24, 2019
Last updated
Apr 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Kyle Witmer Deimler, DCNPI 1427521558
Title
Owner
Phone
(717) 982-7196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

223 Mulberry St
Newport, PA 17074-1421

Mailing address

223 Mulberry St
Newport, PA 17074-1421
Phone (717) 567-3158

Other names 1

  • Deimler Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190522001613 PA Part B Supplier - Clinic/Group Practice 3971846536 Receives reassigned benefits from 3 practitioners
Practice locations: Newport, PA; Millersburg, PA

National Provider Directory

National Provider Directory

Locations

223 Mulberry St
Newport, PA 17074
Phone (717) 567-3158

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1295399335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MULBERRY ST",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170741421",
            "telephone_number": "717-567-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MULBERRY ST",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170741421",
            "telephone_number": "717-567-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K D CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "DEIMLER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "WITMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-982-7196",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deimler Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.