Organization Active NPI

Kiehart Chiropractic, P.C.

  • Chiropractor
  • Montour Falls, NY
National Provider Identifier
1396435558
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KIEHART CHIROPRACTIC, P.C.
Practice address
228 West Main Street
Montour Falls, NY 14865-9517
Phone
(732) 343-0318
NPI assigned
May 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Dr. Ryan Anthony Kiehart, DCNPI 1205424587
Title
Owner
Phone
(570) 267-8327

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

228 West Main Street
Montour Falls, NY 14865-9517

Mailing address

2757 Lower Lake Rd Apt B
Seneca Falls, NY 13148-9429
Phone (570) 267-8327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240205003298 NY Part B Supplier - Clinic/Group Practice 3870936008 Receives reassigned benefits from 2 practitioners
Practice locations: Montour Falls, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1396435558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 LOWER LAKE RD APT B",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131489429",
            "telephone_number": "570-267-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 WEST MAIN STREET",
            "city": "MONTOUR FALLS",
            "state": "NY",
            "postal_code": "148659517",
            "telephone_number": "732-343-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIEHART CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "KIEHART",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-267-8327",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Montour Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.