Individual provider Active NPI

Sean C Kilgore, D.C., RN

  • Chiropractor
  • Balch Springs, TX
National Provider Identifier
1871559138
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8704 Issued in TX
Practice address
3501 Shepherd LN
Balch Springs, TX 75180
Phone
(972) 362-2227
Fax
(972) 362-2228
NPI assigned
Apr 25, 2006
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143125 TX
Chiropractor 111N00000X 8704 TX Primary
Registered Nurse 163W00000X 872361 TX

Addresses

Primary practice location

3501 Shepherd LN
Balch Springs, TX 75180

Mailing address

1667 Chesterwood Dr
Rockwall, TX 75032-7378
Phone (972) 722-0465

Other practice location 1

2121 Northwest Hwy
Garland, TX 75041-4858
Phone (469) 331-9462

Other practice location 2

3501 Shepherd Ln
Balch Springs, TX 75180
Phone (972) 362-2227

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
872361TXMDRegistered Nurse
AP143125TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Klesmit Chiropractic Offices, P.a. Past Accepting new patients
Klesmit Chiropractic Offices, P.a. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1871559138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 CHESTERWOOD DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327378",
            "telephone_number": "972-722-0465",
            "fax_number": "972-722-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SHEPHERD LN",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "75180",
            "telephone_number": "972-362-2227",
            "fax_number": "972-362-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750414858",
            "country_code": "US",
            "telephone_number": "469-331-9462",
            "fax_number": "469-331-9463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Shepherd Ln",
            "address_purpose": "LOCATION",
            "city": "Balch Springs",
            "state": "TX",
            "postal_code": "75180",
            "country_code": "US",
            "telephone_number": "972-362-2227",
            "fax_number": "972-362-2228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "SEAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C., RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143125",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8704",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "872361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Balch Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.