Active NPI
Nicholas Michael James Kizzire, D.C.
- Chiropractor
- Alliance, NE
National Provider Identifier
1548635642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1871
- Practice address
- 221 Box Butte Ave
Alliance, NE 69301-3741 - Phone
- (308) 761-1145
- Fax
- (308) 761-1143
- NPI assigned
- Dec 1, 2015
- 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 | 1871 | NE | Primary |
Addresses
Primary practice location
221 Box Butte Ave
Alliance, NE 69301-3741
Mailing address
327 W 11TH St
Bayard, NE 69334-2017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
221 Box Butte Ave
Alliance, NE 69301-3741
Phone (308) 761-1145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1871 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kizzire Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
221 Box Butte Ave
Alliance, NE 69301
Phone (308) 671-1145
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
- Alliance, NE
- NPI 1295387587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1548635642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 W 11TH ST",
"city": "BAYARD",
"state": "NE",
"postal_code": "693342017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 BOX BUTTE AVE",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "693013741",
"telephone_number": "308-761-1145",
"fax_number": "308-761-1143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZZIRE",
"first_name": "NICHOLAS",
"middle_name": "MICHAEL JAMES",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-01",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alliance, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.