Active NPI
Robert Brent Kimble II, D.C.
- Chiropractor
- Herndon, VA
National Provider Identifier
1831276906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556427
- Practice address
- 102 Elden St Ste 13
Herndon, VA 20170-4827 - Phone
- (703) 742-5470
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556427 | VA | Primary |
Addresses
Primary practice location
102 Elden St Ste 13
Herndon, VA 20170-4827
Mailing address
104 Aztec TRL
Winchester, VA 22602-1503
Phone (304) 839-6563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556427 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Touch Chiropractic, LLC | Past | Accepting new patients | |
| Absolute Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Herndon, VA
- NPI 1962589051
-
- Rehabilitation Chiropractor
- Clarksville, TN
- NPI 1659757128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831276906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 AZTEC TRL",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226021503",
"telephone_number": "304-839-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 ELDEN ST STE 13",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704827",
"telephone_number": "703-742-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBLE",
"first_name": "ROBERT",
"middle_name": "BRENT",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.