Active NPI
Kitching Chiropractic
- Chiropractor
- Statesboro, GA
National Provider Identifier
1780873364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO005332
- Legal business name
- KITCHING CHIROPRACTIC
- Practice address
- 110 Rushing LN
Statesboro, GA 30458-6027 - Phone
- (912) 681-2225
- Fax
- (912) 871-2225
- NPI assigned
- Oct 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth J Kitching, D.C
- Title
- Chiropractor
- Phone
- (912) 681-2225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO005332 | GA | Primary |
Addresses
Primary practice location
110 Rushing LN
Statesboro, GA 30458-6027
Mailing address
110 Rushing LN
Statesboro, GA 30458-6027
Phone (912) 681-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040505000429 | GA | Part B Supplier - Clinic/Group Practice | 3577551894 | Practice locations: Statesboro, GA |
National Provider Directory
National Provider DirectoryLocations
502 Gentilly Rd
Statesboro, GA 30458
Phone (912) 681-2225
110 Rushing Ln
Statesboro, GA 30458
Phone (912) 542-0444
323 Mims Rd
Sylvania, GA 30467
Phone (912) 564-2225
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Statesboro, GA
- NPI 1316021272
-
- Chiropractor
- Statesboro, GA
- NPI 1811051600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193961600000",
"number": "1780873364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 RUSHING LN",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304586027",
"telephone_number": "912-681-2225",
"fax_number": "912-871-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 RUSHING LN",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304586027",
"telephone_number": "912-681-2225",
"fax_number": "912-871-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KITCHING CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-18",
"last_updated": "2007-11-02",
"status": "A",
"authorized_official_last_name": "KITCHING",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "912-681-2225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO005332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.