Andrew David Kiefert, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4034012 Issued in WI

Practice address

3221 Voyager Dr
Green Bay, WI 54311-8349

Phone

(920) 664-0047

Fax

(920) 908-8476

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balance Chiropractic of Green Bay, LLC

  • Chiropractor
  • Green Bay, WI
  • NPI 1447483417
  NPD (past) Authorized official
• Frain Family Chiropractic Wellness Center, LTD.

  • Chiropractor
  • Green Bay, WI
  • NPI 1023182433
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1477620045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 VOYAGER DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118349",
            "telephone_number": "920-664-0047",
            "fax_number": "920-908-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 VOYAGER DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118349",
            "telephone_number": "920-664-0047",
            "fax_number": "920-908-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFERT",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4034012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38953500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiza N Khan
• Shilpa Khot
• Vikas Khullar, M.D.
• PA Houa Kiatoukaysi, LPC
• Kids Dental Experts Partnership, LLC (Kids Dental Experts)
• Nicole Anna Kieffer, D.O.
• Kristin Kiekhaefer
• Nathanial I Kieler, M.D.
• Jared William Kiernicki, PA-C
• Katelyn M Kiley, PA-C

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.