Individual provider Active NPI

Kayla Rose Neibauer, D.C.

  • Independent Medical Examiner Chiropractor
  • Bismarck, ND
National Provider Identifier
1851663983
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
899 Issued in ND
Practice address
3831 Lockport St B
Bismarck, ND 58503-5539
Phone
(701) 751-3454
NPI assigned
Feb 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X 899 ND Primary

Addresses

Primary practice location

3831 Lockport St B
Bismarck, ND 58503-5539

Mailing address

3831 Lockport St B
Bismarck, ND 58503-5539
Phone (701) 751-3454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000752 ND Practitioner - Chiropractic 3476714338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3831 Lockport St
Suite B
Bismarck, ND 58503-5539
Phone (701) 751-3454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
899NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Health Chiropractic & Wellness, PC CurrentSince Nov 11, 2015 Accepting new patients
Bryantclinic Ofchiropractic&Acupuncturepc Current Accepting new patients

Locations

1424 W Century Ave
Ste 202
Bismarck, ND 58503
Phone (701) 258-7376

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.

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1851663983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 LOCKPORT ST B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035539",
            "telephone_number": "701-751-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 LOCKPORT ST B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035539",
            "telephone_number": "701-751-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIBAUER",
        "first_name": "KAYLA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "ND",
            "license": "899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.