Organization Active NPI

Kip L Kaercher DO PLLC

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1366885600
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KIP L KAERCHER DO PLLC
Practice address
3955 Patient Care Way
Suite B
Lansing, MI 48911-4299
Phone
(517) 882-6643
Fax
(517) 882-1949
NPI assigned
Apr 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Kip L Kaercher
Title
Owner
Phone
(517) 882-6643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3955 Patient Care Way
Suite B
Lansing, MI 48911-4299

Mailing address

3955 Patient Care Way
Suite B
Lansing, MI 48911-4299
Phone (517) 882-6643

National Provider Directory

National Provider Directory

Locations

3955 Patient Care Dr
Ste B
Lansing, MI 48911
Phone (517) 882-6643

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1366885600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE WAY",
            "address_2": "SUITE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114299",
            "telephone_number": "517-882-6643",
            "fax_number": "517-882-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE WAY",
            "address_2": "SUITE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114299",
            "telephone_number": "517-882-6643",
            "fax_number": "517-882-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIP L KAERCHER DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "KAERCHER",
        "authorized_official_first_name": "KIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-882-6643"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.