Active NPI
Kirk J Shilts, D.C.
- Chiropractor
- Brookline, MA
National Provider Identifier
1487659132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 766
- Practice address
- 1129 Beacon St
Brookline, MA 02446-5532 - Phone
- (617) 277-1344
- Fax
- (617) 277-1344
- NPI assigned
- Jun 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 766 | MA | Primary |
Addresses
Primary practice location
1129 Beacon St
Brookline, MA 02446-5532
Mailing address
1129 Beacon St
Brookline, MA 02446-5532
Phone (617) 277-1344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060427000589 | MA | Practitioner - Chiropractic | 2365452844 | Practice locations: Brookline, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1129 Beacon St
Brookline, MA 02446-5532
Phone (617) 277-1344
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 766 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shilts Chiropractic Offices | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Brookline, MA
- NPI 1417968017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1487659132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465532",
"telephone_number": "617-277-1344",
"fax_number": "617-277-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465532",
"telephone_number": "617-277-1344",
"fax_number": "617-277-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHILTS",
"first_name": "KIRK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-19",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.