Individual provider Active NPI

Kent Matthew Miskimen, D.C.

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1598873416
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06553 Issued in IA
Practice address
1435 31St St NE Ste 3
Cedar Rapids, IA 52402-4067
Phone
(319) 261-1999
Fax
(319) 261-0608
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06553 IA Primary

Addresses

Primary practice location

1435 31St St NE Ste 3
Cedar Rapids, IA 52402-4067

Mailing address

1435 31St St NE Ste 3
Cedar Rapids, IA 52402-4067
Phone (319) 261-1999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120106000096 IA Practitioner - Chiropractic 9436141009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1435 31St St NE
Cedar Rapids, IA 52402-4056
Phone (319) 261-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06553IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Chiropractic PLC Chiropractor CurrentSince Jan 1, 2003 Accepting new patients

Locations

1435 31st St NE
Ste 3
Cedar Rapids, IA 52402
Phone (319) 261-1999

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598873416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 31ST ST NE STE 3",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024067",
            "telephone_number": "319-261-1999",
            "fax_number": "319-261-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 31ST ST NE STE 3",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024067",
            "telephone_number": "319-261-1999",
            "fax_number": "319-261-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKIMEN",
        "first_name": "KENT",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.