Kicos Chiropractic Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

2396 Issued in NC

Legal business name

KICOS CHIROPRACTIC INC

Practice address

19810 W Catawba Ave
Cornelius, NC 28031-4056

Phone

(704) 895-3203

Fax

(704) 895-3204

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Joseph Kicos, D.C.NPI 1104905496

Title

Provider

Phone

(704) 895-3203

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Kicos Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kicos Chiropractic, Inc.

  • Chiropractor
  • Cornelius, NC
  • NPI 1609132356
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Joseph Kicos, D.C.

  • Chiropractor
  • Cornelius, NC
  • NPI 1104905496
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700955598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19810 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314056",
            "telephone_number": "704-895-3203",
            "fax_number": "704-895-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19810 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314056",
            "telephone_number": "704-895-3203",
            "fax_number": "704-895-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KICOS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KICOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "704-895-3203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NC",
            "license": "2396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Kerns, LCSW
• Amy E Kester, FNP-BC
• Keystone Chiropractic
• Khondoker and Associates PLLC (Lakehouse Dental)
• Muhammad Khondoker, DDS
• Kicos Chiropractic, Inc.
• John Joseph Kicos, D.C.
• Julianne Kiehl
• Kimberly Owen
• Kimberly S. Christman DDS PA

• Point of Service in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Point of Service in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.