Active NPI
Thomas Everett Kiley, D.C.
- Chiropractor
- Cadillac, MI
National Provider Identifier
1578565743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- TK004039
- Practice address
- 9116 E 13TH St
Cadillac, MI 49601-8126 - Phone
- (231) 775-1357
- Fax
- (231) 775-4709
- NPI assigned
- Jun 1, 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 | TK004039 | MI | Primary |
Addresses
Primary practice location
9116 E 13TH St
Cadillac, MI 49601-8126
Mailing address
PO Box 656
Cadillac, MI 49601-0656
Phone (231) 775-1357
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950H350120 | Other | MI | BCBS |
| 143066839 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TK004039 | MI | MD | Chiropractor |
Interoperability endpoints
- adjust@kc0018.direct.chirotouch.md
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1578565743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 656",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496010656",
"telephone_number": "231-775-1357",
"fax_number": "231-775-4709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9116 E 13TH ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496018126",
"telephone_number": "231-775-1357",
"fax_number": "231-775-4709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILEY",
"first_name": "THOMAS",
"middle_name": "EVERETT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "TK004039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "950H350120",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143066839",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.