Jeffrey S Kimball, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005369 Issued in MI

Practice address

401 E Cedar St
Standish, MI 48658-9620

Phone

(989) 846-4931

Fax

(989) 846-0350

NPI assigned

Sep 22, 2006

Last updated

Jun 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey S. Kimball, D.C.

  • Chiropractor
  • NPI 1043479801
  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1679672786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E CEDAR ST",
            "address_2": "PO BOX 888",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589620",
            "telephone_number": "989-846-4931",
            "fax_number": "989-846-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CEDAR ST",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589620",
            "telephone_number": "989-846-4931",
            "fax_number": "989-846-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1785412",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950Z650010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Ann Jones
• Miechon Jordan
• Dana R Katterman
• Lakhvir Kaur, MD
• Amy Kerkela, PA
• Charles Allen Kinsey
• Stacey Koin
• Kaitlyn Emily Kokaly, LMSW
• Trisha Koontz
• Aaron Joseph Korczowski, NURSE PRACTITIONER

• Chiropractor in Standish, MI
• Providers in Standish, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.