Individual provider Active NPI

Kimberly Kareen Miller Beard, DC

  • Chiropractor
  • Dewitt, MI
National Provider Identifier
1689965766
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009772 Issued in MI
Practice address
13105 Schavey Rd
Suite 6
Dewitt, MI 48820-9008
Phone
(517) 668-6215
Fax
(517) 668-6385
NPI assigned
Apr 25, 2011
Last updated
Nov 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2033274 MI
Chiropractor 111N00000X 2301009772 MI Primary

Addresses

Primary practice location

13105 Schavey Rd
Suite 6
Dewitt, MI 48820-9008

Mailing address

13105 Schavey Rd
Suite 6
Dewitt, MI 48820-9008
Phone (517) 668-6215

Other names 1

  • Ms. Kimberly Kareen Miller Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000706 MI Practitioner - Chiropractic 3476730003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13105 Schavey Rd
Suite 6
Dewitt, MI 48820-9039
Phone (517) 668-6215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2033274MIMDChiropractor
2301009772MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Your Life Chiropractic PC Chiropractor CurrentSince May 15, 2012 Accepting new patients
Okemos Chiropractic Health Clinic, P.C. Chiropractor PastSince Mar 1, 2016 Accepting new patients

Locations

13105 Schavey Rd
Ste 6
Dewitt, MI 48820
Phone (517) 668-6215

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1689965766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13105 SCHAVEY RD",
            "address_2": "SUITE 6",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209008",
            "telephone_number": "517-668-6215",
            "fax_number": "517-668-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13105 SCHAVEY RD",
            "address_2": "SUITE 6",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209008",
            "telephone_number": "517-668-6215",
            "fax_number": "517-668-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "KIMBERLY",
        "middle_name": "KAREEN MILLER",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2033274",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MILLER",
            "middle_name": "KAREEN",
            "prefix": "MS.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dewitt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.