Organization Active NPI

Kiley K. Timmons, D.C., P.a.

  • Chiropractor
  • Brownfield, TX
National Provider Identifier
1578837860
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11421 Issued in TX
Legal business name
KILEY K. TIMMONS, D.C., P.A.
Practice address
1003 Lubbock Rd
Brownfield, TX 79316-2731
Phone
(806) 637-0806
NPI assigned
Mar 4, 2012
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Kiley Keith Timmons, D.C.NPI 1568736841
Title
Owner
Phone
(806) 637-0806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11421 TX Primary

Addresses

Primary practice location

1003 Lubbock Rd
Brownfield, TX 79316-2731

Mailing address

1003 Lubbock Rd
Brownfield, TX 79316-2731
Phone (806) 637-0806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130925000053 TX Part B Supplier - Clinic/Group Practice 0244474682 Receives reassigned benefits from 1 practitioner
Practice locations: Brownfield, TX

National Provider Directory

National Provider Directory

Locations

1003 Lubbock Rd
Brownfield, TX 79316
Phone (806) 637-0806

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1578837860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 LUBBOCK RD",
            "city": "BROWNFIELD",
            "state": "TX",
            "postal_code": "793162731",
            "telephone_number": "806-637-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 LUBBOCK RD",
            "city": "BROWNFIELD",
            "state": "TX",
            "postal_code": "793162731",
            "telephone_number": "806-637-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILEY K. TIMMONS, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-04",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "KILEY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-637-0806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.