Nathaniel Evan Kistner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2015032192 Issued in MO

Practice address

1420 W Meyer Rd
Wentzville, MO 63385-3499

Phone

(636) 639-9660

Fax

(636) 639-9135

NPI assigned

Feb 18, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Synergy Chiropractic Center, LLC

  • Chiropractor
  • Wentzville, MO
  • NPI 1548459530
  Medicare reassignment NPD
• Friedrichs Physical Therapy, LLC

  dba Spirit Physical Therapy

  • Physical Therapy Clinic/Center
  • O Fallon, MO
  • NPI 1720481591
  NPD

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1639538648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853499",
            "telephone_number": "636-639-9660",
            "fax_number": "636-639-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853499",
            "telephone_number": "636-639-9660",
            "fax_number": "636-639-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTNER",
        "first_name": "NATHANIEL",
        "middle_name": "EVAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-18",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015032192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinnison Chiropractic, LLC
• Nate Edward Kinnison, D.C
• Kayla Kinsey
• Calie Marie Kircher, LMSW
• Miranda Leigh Kirchoff
• Melissa A Knight, D.C.
• Brittany Knuth, LCSW
• Danielle Kochner, LPC
• Erin Elizabeth Koerkenmeier
• Meghan Nicole Kohler, PHARMD

• Chiropractor in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.