NPIMap

Individual provider Active NPI

Joseph F Kibler, DPM

  • Primary Podiatric Medicine Podiatrist
  • Supply, NC
National Provider Identifier
1467425348
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
452 Issued in NC
Practice address
14 Doctors Cir
Suite 2
Supply, NC 28462-4088
Phone
(910) 755-6512
Fax
(910) 755-6548
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X 452 NC Primary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X 452 NC
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 452 NC

Addresses

Primary practice location

14 Doctors Cir
Suite 2
Supply, NC 28462-4088

Mailing address

14 Doctors Cir
Suite 2
Supply, NC 28462-4088
Phone (910) 755-6512

Other identifiers 2

IdentifierTypeStateIssuer
5199990001OtherNCMEDICARE DMERC PTAN
890806XMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040911000282 NC Practitioner - Podiatry 4183691967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Instride Foot and Ankle Specialists, PLLC 46 clinicians

Practice addresses (Care Compare)

14 Doctors Cir
Suite 2
Supply, NC 28462-4088
Phone (910) 755-6512

Hospital & facility affiliations

  • J Arthur Dosher Memorial Hospital Hospital, Southport, NC, CCN 341327
  • Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions13
Removal of nail tissue495
Removal or shaving of skin growth91
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
452NCMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Instride Foot and Ankle Specialists, PLLC Single Specialty CurrentSince Jan 1, 2013 Accepting new patients
Brunswick Foot & Ankle Surgery Single Specialty CurrentSince Jul 14, 2004 Accepting new patients
Instride Foot and Ankle Specialists, PLLC Primary Podiatric Medicine CurrentSince Jan 1, 2013 Accepting new patients

Locations

2607 E 7th St
Ste 100
Charlotte, NC 28204
Phone (704) 708-3403

1036 Branchview Dr
Ste 216
Concord, NC 28025
Phone (704) 886-1918

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

6602 Roberta Rd
Harrisburg, NC 28075
Phone (704) 454-5558

14 Doctors Cir
Ste 2
Supply, NC 28462
Phone (910) 755-6512

Interoperability endpoints

  • Direct secure messaging: joseph.kibler@ifasp.eclinicaldirectplus.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1467425348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DOCTORS CIR",
            "address_2": "SUITE 2",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624088",
            "telephone_number": "910-755-6512",
            "fax_number": "910-755-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DOCTORS CIR",
            "address_2": "SUITE 2",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624088",
            "telephone_number": "910-755-6512",
            "fax_number": "910-755-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBLER",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "452",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "452",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC PTAN",
            "identifier": "5199990001",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890806X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

Verify at the official NPI Registry.