Michael Alan Kimmel, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009883 Issued in NY

Practice address

740 Walt Whitman Rd
Melville, NY 11747-2212

Phone

(631) 646-2256

Fax

(631) 249-1793

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Suffolk Physical Therapy & Chiropractic, PLLC

  • Chiropractor
  • Melville, NY
  • NPI 1417564253
  Medicare reassignment NPD
• C.M.I.S.S., PC

  • Ambulatory Surgical Clinic/Center
  • Utica, NY
  • NPI 1124161088
  NPD (past)
• Clarity Eye Care LLC

  • Optometrist
  • Flushing, NY
  • NPI 1790201754
  NPD (past)
• Copps Medical PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New Hartford, NY
  • NPI 1871636720
  NPD (past)
• Move Better Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Hempstead, NY
  • NPI 1942790720
  NPD (past)
• Northshore Chiropractic Diagnostics PC

  • Chiropractor
  • Hempstead, NY
  • NPI 1083889687
  NPD (past)
• Tonuca Basu Physician P.C.

  • Multi-Specialty Clinic/Center
  • Ridgewood, NY
  • NPI 1104266584
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1700905171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117470308",
            "telephone_number": "631-249-0011",
            "fax_number": "631-249-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 WALT WHITMAN RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472212",
            "telephone_number": "631-646-2256",
            "fax_number": "631-249-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X009883",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew G Killian, PMHNP
• Deborah Kim
• Hana Kim, PHARM.D.
• Megan Kim
• Michelle Kim, PHARMD
• Brenda Budzitowski King, SLP, MSW
• Imani King
• Patricia A. King, LCSW
• Summer King
• Aram A Kirkorian, DDS

• Chiropractor in Melville, NY
• Providers in Melville, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.