Individual provider Active NPI

James W Kimbriel, DC

  • Chiropractor
  • Sparks, NV
National Provider Identifier
1598962318
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-454 Issued in NV
Practice address
2281 Pyramid Way
Ste 16
Sparks, NV 89431-2161
Phone
(775) 355-6711
Fax
(775) 355-7045
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

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 B-454 NV Primary

Addresses

Primary practice location

2281 Pyramid Way
Ste 16
Sparks, NV 89431-2161

Mailing address

2281 Pyramid Way
Ste 16
Sparks, NV 89431-2161
Phone (775) 355-6711

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

LicenseStateTypeSpecialty
B-454NVMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598962318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 PYRAMID WAY",
            "address_2": "STE 16",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894312161",
            "telephone_number": "775-355-6711",
            "fax_number": "775-355-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 PYRAMID WAY",
            "address_2": "STE 16",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894312161",
            "telephone_number": "775-355-6711",
            "fax_number": "775-355-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBRIEL",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.