Individual provider Active NPI

Kristopher Jon Culbertson, M.S., CNIM

  • Specialist
  • Canadaigua, NY
National Provider Identifier
1861670846
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
302 Easterm Blvd
#243
Canadaigua, NY 14424-2231
Phone
(303) 968-7824
Fax
(303) 968-7824
NPI assigned
Feb 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

302 Easterm Blvd
#243
Canadaigua, NY 14424-2231

Mailing address

302 Easterm Blvd
#243
Canadaigua, NY 14424-2231
Phone (303) 968-7824

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)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Total Health PLLC Current Accepting new patients
LNM, LLC PastSince Dec 7, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1861670846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 EASTERM BLVD",
            "address_2": "#243",
            "city": "CANADAIGUA",
            "state": "NY",
            "postal_code": "144242231",
            "telephone_number": "303-968-7824",
            "fax_number": "303-968-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 EASTERM BLVD",
            "address_2": "#243",
            "city": "CANADAIGUA",
            "state": "NY",
            "postal_code": "144242231",
            "telephone_number": "303-968-7824",
            "fax_number": "303-968-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBERTSON",
        "first_name": "KRISTOPHER",
        "middle_name": "JON",
        "credential": "M.S., CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.