Michael S. Kirk, Jr.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00578200 Issued in NJ

Legal business name

MICHAEL S. KIRK, JR.

Practice address

300 Chester Ave
Suite 102
Moorestown, NJ 08057-2512

Phone

(856) 727-8300

Fax

(856) 727-8346

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael S. Kirk Jr., D.C.NPI 1922112549

Title

Owner

Phone

(856) 727-8300

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Performance Health & Chiropractic Doing business as

Locations

Practitioners 1

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

• Michael Stephen Kirk Jr., D.C.

  • Chiropractor
  • Hainesport, NJ
  • NPI 1922112549
  NPD (past) Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1336208552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHESTER AVE",
            "address_2": "SUITE 102",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572512",
            "telephone_number": "856-727-8300",
            "fax_number": "856-727-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHESTER AVE",
            "address_2": "SUITE 102",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572512",
            "telephone_number": "856-727-8300",
            "fax_number": "856-727-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. KIRK, JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-727-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00578200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3557463",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7272582",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH IBC",
            "identifier": "2410673000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "001745107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Health & Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa A Metzger, PHARMD
• Jennifer Ann Metzler, PHARMD
• Katie E Meyer, PHARMD
• MG Med Supplies
• Mghani Med Supplies LLC
• Kathleen Ann Milano, PHD
• Liesl Carey Miles, M.D.
• Kristin H Miller Ryan, OTR/L
• Dennis C Miller, OD
• Gregory T. Miller, M.A., LPC

• Chiropractor in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.