Kimmel R Chisolm, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH15532 Issued in FL

Practice address

3614 Wedgewood LN
The Villages, FL 32162-9318

Phone

(352) 259-2225

NPI assigned

Mar 20, 2016

Last updated

Sep 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic USA of Buffalo Ridge IncGroup PAC ID 6103010616, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Chiropractic USA of Buffalo Ridge Inc

  • Chiropractor
  • The Villages, FL
  • NPI 1568776276
  Medicare reassignment Care Compare group NPD
• Chiropracticusa Ocala East,LLC

  • Chiropractor
  • Ocala, FL
  • NPI 1649740135
  NPD
• Keystone Chiropractic LLC

  dba NJ Chiropractic Coverage Services

  • Chiropractor
  • The Villages, FL
  • NPI 1992494827
  NPD

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

{
    "created_epoch": "1458432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1851752778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713914",
            "telephone_number": "352-421-9292",
            "fax_number": "352-421-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 WEDGEWOOD LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629318",
            "telephone_number": "352-259-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISOLM",
        "first_name": "KIMMEL",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-20",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynn Cheston, PAC
• John David Chiaramonti, OD
• Marisel R Chibas, M.D.
• Nicole Chierico, APRN
• Chiropractic USA of Buffalo Ridge Inc
• Cim Medical Group Inc
• Barbara Cingel, MD
• CL Medical Group Inc
• James Butch Clark, PT
• Scott Clark, PA

• Chiropractor in The Villages, FL
• Providers in The Villages, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.