Organization Active NPI

Kilted Chiro LLC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1366033375
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KILTED CHIRO LLC
Practice address
6718 N Nebraska Ave
Tampa, FL 33604-5659
Phone
(813) 787-6764
NPI assigned
Feb 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Adam Stout, DCNPI 1417246836
Title
Owner/Operator
Phone
(813) 787-6764

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6718 N Nebraska Ave
Tampa, FL 33604-5659

Mailing address

6718 N Nebraska Ave
Tampa, FL 33604-5659
Phone (813) 787-6764

Other names 1

  • Heights Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

6718 N Nebraska Ave
Tampa, FL 33604
Phone (813) 733-8355

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1366033375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045659",
            "telephone_number": "813-787-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045659",
            "telephone_number": "813-787-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILTED CHIRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "813-787-6764",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heights Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.