Individual provider Active NPI

Ethan Miles Kirchner, D.C.

  • Chiropractor
  • Bel Air, MD
National Provider Identifier
1871632117
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S02127 Issued in MD
Practice address
508 Rock Spring Ave.
Ste 100
Bel Air, MD 21014
Phone
(410) 836-0001
Fax
(410) 893-6373
NPI assigned
Feb 5, 2007
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S02127 MD Primary

Addresses

Primary practice location

508 Rock Spring Ave.
Ste 100
Bel Air, MD 21014

Mailing address

2206 Lafayette Rd
Ste 100
Crawfordsville, IN 47933-1043
Phone (765) 362-0123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000425 IN Practitioner - Chiropractic 3072598028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
May accept Medicare assignment
Group practices
FHP IncGroup PAC ID 9335163906, 2 clinicians

Practice addresses (Care Compare)

3498 S 4TH St
Terre Haute, IN 47802-4168
Phone (812) 298-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healistic, LLC Chiropractor CurrentSince Sep 8, 2025 Accepting new patients
FHP, Inc Chiropractor CurrentSince Jul 1, 2017 Accepting new patients

Locations

2206 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-0123

3498 S 4th St
Terre Haute, IN 47802
Phone (812) 298-9800

Interoperability endpoints

  • Direct secure messaging: ekirchner@mcp0003.direct.chirotouch.md

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1871632117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 LAFAYETTE RD",
            "address_2": "STE 100",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331043",
            "telephone_number": "765-362-0123",
            "fax_number": "765-362-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 ROCK SPRING AVE.",
            "address_2": "STE 100",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-836-0001",
            "fax_number": "410-893-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHNER",
        "first_name": "ETHAN",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S02127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.