Organization Active NPI

Kite Family Chiropractic PLC

  • Health Service Clinic/Center
  • Atlantic, IA
National Provider Identifier
1467951194
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
KITE FAMILY CHIROPRACTIC PLC
Practice address
1209 Sunnyside LN
Atlantic, IA 50022-2203
Phone
(712) 243-7737
NPI assigned
Feb 8, 2018
Last updated
Feb 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Dr. Paul Svend Kite, DCNPI 1164875092
Title
Chiropractor
Phone
(712) 243-7737

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
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

1209 Sunnyside LN
Atlantic, IA 50022-2203

Mailing address

2105 Maple St
Atlantic, IA 50022-2815
Phone (712) 254-1329

Other identifiers 1

IdentifierTypeStateIssuer
1164875092MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180222002752 IA Part B Supplier - Clinic/Group Practice 5698036234 Receives reassigned benefits from 2 practitioners
Practice locations: Atlantic, IA

National Provider Directory

National Provider Directory

Locations

1209 Sunnyside Ln
Atlantic, IA 50022
Phone (712) 243-7737

18 W 6th St
Atlantic, IA 50022
Phone (712) 243-7737

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1467951194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 MAPLE ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500222815",
            "telephone_number": "712-254-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 SUNNYSIDE LN",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500222203",
            "telephone_number": "712-243-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITE FAMILY CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "KITE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "SVEND",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "712-243-7737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164875092",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.