Active NPI
Walter Paul Kittle, D.C.
- Chiropractor
- Holt, MI
National Provider Identifier
1326000258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- WK004269
- Practice address
- 2385 Delhi Commerce Dr
Suite 1a
Holt, MI 48842-2192 - Phone
- (517) 694-4972
- Fax
- (517) 694-5898
- NPI assigned
- Apr 5, 2006
- 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 | WK004269 | MI | Primary |
Addresses
Primary practice location
2385 Delhi Commerce Dr
Suite 1a
Holt, MI 48842-2192
Mailing address
2385 Delhi Commerce Dr
Suite 1a
Holt, MI 48842-2192
Phone (517) 694-4972
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WK004269 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dion Wellness PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Holt, MI
- NPI 1669839692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1326000258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2385 DELHI COMMERCE DR",
"address_2": "SUITE 1A",
"city": "HOLT",
"state": "MI",
"postal_code": "488422192",
"telephone_number": "517-694-4972",
"fax_number": "517-694-5898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 DELHI COMMERCE DR",
"address_2": "SUITE 1A",
"city": "HOLT",
"state": "MI",
"postal_code": "488422192",
"telephone_number": "517-694-4972",
"fax_number": "517-694-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITTLE",
"first_name": "WALTER",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "WK004269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.