Active NPI
Kisling Family Chiropractic, P.C.
- Medical Specialty Clinic/Center
- Traverse City, MI
National Provider Identifier
1811001795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 2301007338
- Legal business name
- KISLING FAMILY CHIROPRACTIC, P.C.
- Practice address
- 1323 Cass St
Traverse City, MI 49684-4146 - Phone
- (231) 946-2222
- NPI assigned
- Aug 18, 2006
- 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. Robert Jefferson Kisling, D.C.
- Title
- Ceo/ Clinic Director
- Phone
- (231) 946-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 2301007338 | MI | Primary |
Addresses
Primary practice location
1323 Cass St
Traverse City, MI 49684-4146
Mailing address
PO Box 6711
Traverse City, MI 49696-6711
Phone (231) 946-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811001795 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1323 Cass St
Traverse City, MI 49684
Phone (231) 946-2222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200009600000",
"number": "1811001795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6711",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496966711",
"telephone_number": "231-946-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 CASS ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844146",
"telephone_number": "231-946-2222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KISLING FAMILY CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2008-01-11",
"status": "A",
"authorized_official_last_name": "KISLING",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JEFFERSON",
"authorized_official_title_or_position": "CEO/ CLINIC DIRECTOR",
"authorized_official_telephone_number": "231-946-2222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MI",
"license": "2301007338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811001795",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.