Kist Family Chiropractic & Wellness Centre Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2823 Issued in OH

Legal business name

KIST FAMILY CHIROPRACTIC & WELLNESS CENTRE INC.

Practice address

2711 Hubbard Rd
Madison, OH 44057

Phone

(440) 428-0711

Fax

(440) 428-0760

NPI assigned

Mar 20, 2007

Last updated

Sep 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James K Kist, DCNPI 1205920105

Title

Owner

Phone

(440) 428-0711

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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.

• James Kenneth Kist, DC

  • Chiropractor
  • Ashtabula, OH
  • NPI 1205920105
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1356466445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 HUBBARD RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "44057",
            "telephone_number": "440-428-0711",
            "fax_number": "440-428-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 HUBBARD RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "44057",
            "telephone_number": "440-428-0711",
            "fax_number": "440-428-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIST FAMILY CHIROPRACTIC & WELLNESS CENTRE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "KIST",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-428-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2823",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2174749",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Erissa Kellat
• Jesseca Keller, PHARMD
• Joseph J Kessler Jr., MD
• Carrie L Kirk King
• Alberta Louise Kirk
• Charlotte F Kister, RN
• Brittany Knight
• Ryan Marie Knight, LPN
• William Koenig, D.D.S.,M.S.D.
• Jenny Lynn Kohr, PT

• Chiropractor in Madison, OH
• Providers in Madison, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.