Individual provider Active NPI

Kirk J Shilts, D.C.

  • Chiropractor
  • Brookline, MA
National Provider Identifier
1487659132
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
766 Issued in MA
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

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
766MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shilts Chiropractic Offices Chiropractor PastSince Jan 4, 2012 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.

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.

Verify at the official NPI Registry.