Active NPI
Nicky Mathew Kirk, D.C.
- Chiropractor
- Frisco, TX
National Provider Identifier
1578870432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14039
- Practice address
- 3800 Gaylord Pkwy Ste 795
Frisco, TX 75034-1102 - Phone
- (214) 902-3400
- NPI assigned
- Sep 13, 2010
- 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 | 14039 | TX | Primary |
Addresses
Primary practice location
3800 Gaylord Pkwy Ste 795
Frisco, TX 75034-1102
Mailing address
1612 Mack LN
Little Elm, TX 75068-1996
Phone (972) 679-7894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 Gaylord Pkwy
Suite 795
Frisco, TX 75034-1102
Phone (214) 902-3400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14039 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hpi LLC | Chiropractor | Current | Accepting new patients |
Locations
503 Calle Ext S
Dorado, PR 00646
Phone (787) 796-2900
Interoperability endpoints
- nicky.kirk.1@23964.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Northlake, TX
- NPI 1154967552
-
- Chiropractor
- Dorado, PR
- NPI 1366988651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1578870432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 MACK LN",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750681996",
"telephone_number": "972-679-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 GAYLORD PKWY STE 795",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341102",
"telephone_number": "214-902-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "NICKY",
"middle_name": "MATHEW",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-13",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.