Active NPI
James R Kieser II, D.C.
- Neurology Chiropractor
- Sachse, TX
National Provider Identifier
1366488819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 8576
- Practice address
- 5634 Highway 78
Suite 120
Sachse, TX 75048-3773 - Phone
- (972) 496-4200
- Fax
- (972) 496-4400
- NPI assigned
- Jun 22, 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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 8576 | TX | Primary |
Addresses
Primary practice location
5634 Highway 78
Suite 120
Sachse, TX 75048-3773
Mailing address
5634 Highway 78
Suite 120
Sachse, TX 75048-3773
Phone (972) 496-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8A7641 | Other | TX | BCBS INDIVIDUAL ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5634 Hwy 78
Suite 120
Sachse, TX 75048-3773
Phone (972) 496-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8576 | TX | MD | Periodontist |
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
- Sachse, TX
- NPI 1750576153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1366488819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5634 HIGHWAY 78",
"address_2": "SUITE 120",
"city": "SACHSE",
"state": "TX",
"postal_code": "750483773",
"telephone_number": "972-496-4200",
"fax_number": "972-496-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5634 HIGHWAY 78",
"address_2": "SUITE 120",
"city": "SACHSE",
"state": "TX",
"postal_code": "750483773",
"telephone_number": "972-496-4200",
"fax_number": "972-496-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIESER",
"first_name": "JAMES",
"middle_name": "R",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "TX",
"license": "8576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL ID#",
"identifier": "8A7641",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sachse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.