Kimberly Shea Sirisky, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3585 Issued in SC

Practice address

1001 Physicians Dr
Charleston, SC 29414-5746

Phone

(843) 571-1020

Fax

(843) 573-0788

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kimberly Sirisky Cianciolo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1710105820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PHYSICIANS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145746",
            "telephone_number": "843-571-1020",
            "fax_number": "843-573-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PHYSICIANS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145746",
            "telephone_number": "843-571-1020",
            "fax_number": "843-573-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRISKY",
        "first_name": "KIMBERLY",
        "middle_name": "SHEA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CIANCIOLO",
            "middle_name": "SIRISKY",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Michelle Singleton
• Quana Mardena Singleton
• Rosanna Sinni, DMD
• Amy Marie Sion, PHARMD, BCOP
• Joel Matthew Sirianni, M.D.
• Katarina Sisk, PHARMD
• Robert Franklin Sisson III, M.D.
• Chelsea Ann Sitarik
• Ziad Georges Skaff, MD
• Nicole Marie Campbell Skaggs, PA

• Chiropractor in Charleston, SC
• Providers in Charleston, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.