KDW Chirocare Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3509 Issued in NC

Legal business name

KDW CHIROCARE INC

Practice address

736 Brawley School Rd
Suite E
Mooresville, NC 28117-9282

Phone

(704) 664-1031

Fax

(704) 664-1035

NPI assigned

Feb 1, 2007

Organization subpart

Yes

Parent organization

REGIONAL CHIROPRACTIC CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Kristine Marie Deboer, D.C.NPI 1134292279

Title

Chiropractic Physician

Phone

(980) 297-1414

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

KDW Chirocare Inc

Locations

Practitioners 4

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

• Kristine Marie Deboer, D.C.

  • Chiropractor
  • Mooresville, NC
  • NPI 1134292279
  Medicare reassignment Care Compare group NPD Authorized official
• Lyndsey Nicole Sciarrino, DC

  • Chiropractor
  • Charlotte, NC
  • NPI 1770360232
  Medicare reassignment Care Compare group NPD
• Meng Xiong

  • Acupuncturist
  • Mooresville, NC
  • NPI 1386317063
  Medicare reassignment Care Compare group NPD
• Joseph Livingstone Glick III, D.C.

  • Chiropractor
  • Mooresville, NC
  • NPI 1730830688
  Medicare reassignment NPD

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1750429189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 LAURENS DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277637",
            "telephone_number": "980-297-1414",
            "fax_number": "704-660-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BRAWLEY SCHOOL RD",
            "address_2": "SUITE E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179282",
            "telephone_number": "704-664-1031",
            "fax_number": "704-664-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDW CHIROCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL CHIROPRACTIC CENTER",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "DEBOER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "980-297-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2459637B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1750429189",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "2459637A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herit Dinesh Kathrotiya
• Yogita Herit Kathrotiya
• Arabindra Bahadur Katwal, M.D.
• Joanna Kauffman
• Justin Kauffman, DDS
• John Scott Keadle, DDS
• Natasha Lynette Kearney, CCC SLP
• Conor Keeley
• Timothy P Kelley, PA-C
• Ingrid Kenron

• Chiropractor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.