Individual provider Active NPI

Daniel Jacob Kilps, DC

  • Chiropractor
  • Kennewick, WA
National Provider Identifier
1508369257
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60817985 Issued in WA
Practice address
2909 S Quillan St Ste 158
Kennewick, WA 99337-2437
Phone
(541) 604-2829
NPI assigned
Mar 8, 2018
Last updated
Mar 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60817985 WA Primary

Addresses

Primary practice location

2909 S Quillan St Ste 158
Kennewick, WA 99337-2437

Mailing address

785 Canyon St Apt 206
Richland, WA 99352-8523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180828000962 WA Practitioner - Chiropractic 1557619400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abundant Life Chiropractic CenterGroup PAC ID 5395969414, 2 clinicians

Practice addresses (Care Compare)

1407 Maiden LN
Suite a
Wenatchee, WA 98801-1026
Phone (509) 888-5260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60817985WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Designed Life Chiropractic PS Chiropractor CurrentSince Jun 1, 2018 Accepting new patients
Abundant Life Chiropractic Center Chiropractor CurrentSince Sep 1, 2025 Accepting new patients

Locations

2909 S Quillan St
Ste 158
Kennewick, WA 99337
Phone (509) 579-5992

1407 Maiden Ln
Ste A
Wenatchee, WA 98801
Phone (509) 885-3999

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1508369257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 CANYON ST APT 206",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 S QUILLAN ST STE 158",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372437",
            "telephone_number": "541-604-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPS",
        "first_name": "DANIEL",
        "middle_name": "JACOB",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60817985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.