Kingsbury Chiropractic LC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008835 Issued in MI

Legal business name

KINGSBURY CHIROPRACTIC LC

Practice address

84 E Lakewood Blvd
Holland, MI 49424-2000

Phone

(616) 392-2166

NPI assigned

Dec 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Craig Alan Kingsbury, D.C.NPI 1255482345

Title

Owner

Phone

(616) 283-2445

Specialties & licenses 1

Addresses

Other names 1

• Dr. Craig Alan Kingsbury Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Alan Kingsbury, D.C.

  • Chiropractor
  • Holland, MI
  • NPI 1255482345
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1720486293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 OLD ORCHARD RD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234453",
            "telephone_number": "616-283-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 E LAKEWOOD BLVD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242000",
            "telephone_number": "616-392-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBURY CHIROPRACTIC LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "KINGSBURY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-283-2445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Craig Alan Kingsbury",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katie L Kilmartin, LLPC
• Kim Richardson Therapy LLC
• Tara Lee Kimball, RDH
• Alana Anne King
• Stephanie King, MA, LPC
• Craig Alan Kingsbury, D.C.
• George Kirby, M.D, D.D.S.
• Alysha Nicole Kirkwood, DO
• Jennifer Marie Kirkwood
• Marjalize Kirsten, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.