NPIMap

Organization Active NPI

Kelly M Svitak DC, LLC

  • Health Service Clinic/Center
  • Kirkwood, MO
National Provider Identifier
1730495565
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
2010030123 Issued in MO
Legal business name
KELLY M SVITAK DC, LLC
Practice address
1099 Milwaukee St Ste 240
Kirkwood, MO 63122-7360
Phone
(314) 822-1502
Fax
(314) 821-9889
NPI assigned
Aug 31, 2010
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Dr. Kelly M Svitak, D.C.
Title
Chiropractor
Phone
(785) 587-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 2010030123 MO Primary

Addresses

Primary practice location

1099 Milwaukee St Ste 240
Kirkwood, MO 63122-7360

Mailing address

1099 Milwaukee St Ste 240
Kirkwood, MO 63122-7360
Phone (314) 822-1502

National Provider Directory

National Provider Directory
Tax ID family
Kelly M Svitak DC LLC2 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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1730495565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 MILWAUKEE ST STE 240",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227360",
            "telephone_number": "314-822-1502",
            "fax_number": "314-821-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MILWAUKEE ST STE 240",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227360",
            "telephone_number": "314-822-1502",
            "fax_number": "314-821-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY M SVITAK DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "SVITAK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "785-587-5911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MO",
            "license": "2010030123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.