Individual provider Active NPI

Beth A Kiser, DC

  • Chiropractor
  • Lorain, OH
National Provider Identifier
1811982341
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 2958 Issued in OH
Practice address
1875 N Ridge Rd E
Ste. a
Lorain, OH 44055-3371
Phone
(440) 277-9355
Fax
(440) 277-9393
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 2958 OH Primary

Addresses

Primary practice location

1875 N Ridge Rd E
Ste. a
Lorain, OH 44055-3371

Mailing address

1875 N Ridge Rd E
Ste. a
Lorain, OH 44055-3371
Phone (440) 277-9355

Other identifiers 2

IdentifierTypeStateIssuer
000000332145OtherOHANTHEM BLUE CROSS
2255956MedicaidOH

Other names 1

  • Beth Anne Kiser Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040807000277 OH Practitioner - Chiropractic 8628040912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1875 N Ridge Rd E
Suite a
Lorain, OH 44055-3371
Phone (440) 277-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 2958OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Beth a Bronemann Inc Chiropractor CurrentSince Jan 8, 2009 Accepting new patients
Dr Mitchell Goozdich Inc Chiropractor Past Accepting new patients
In8 Inc Chiropractor PastSince Apr 20, 2014 Accepting new patients
Simoson Chiropractic, Inc. Chiropractor PastSince Apr 3, 2000 Accepting new patients

Locations

1875 N Ridge Rd E
Ste A
Lorain, OH 44055
Phone (440) 277-9355

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1811982341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 N RIDGE RD E",
            "address_2": "STE. A",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440553371",
            "telephone_number": "440-277-9355",
            "fax_number": "440-277-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 N RIDGE RD E",
            "address_2": "STE. A",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440553371",
            "telephone_number": "440-277-9355",
            "fax_number": "440-277-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC 2958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000332145",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2255956",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "KISER",
            "middle_name": "ANNE",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.