Organization Active NPI

Kisling Family Chiropractic, P.C.

  • Medical Specialty Clinic/Center
  • Traverse City, MI
National Provider Identifier
1811001795
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2301007338 Issued in MI
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

Updated by the provider on Jan 11, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1811001795MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.