Kraig Alan Kirkdorfer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009038 Issued in MI

Practice address

2560 S Cleveland Ave
Suite 4
Saint Joseph, MI 49085-2640

Phone

(269) 982-1611

Fax

(269) 982-1644

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

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 MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Lake Michigan Chiropractic, PLLC

  • Chiropractor
  • Saint Joseph, MI
  • NPI 1144504010
  Medicare reassignment NPD Authorized official
• Hudak Chiropractic Clinic, PC

  • Chiropractor
  • Saint Joseph, MI
  • NPI 1225087018
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922017672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 S CLEVELAND AVE",
            "address_2": "SUITE 4",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852640",
            "telephone_number": "269-982-1611",
            "fax_number": "269-982-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 S CLEVELAND AVE",
            "address_2": "SUITE 4",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852640",
            "telephone_number": "269-982-1611",
            "fax_number": "269-982-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKDORFER",
        "first_name": "KRAIG",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Kingbarry, PAC
• David Kipp, MS, PT, OCS
• Joseph Thomas Kirby, PA-C
• Sara Kirby, LLMFT
• Tanner James Kirchberg, DO
• Erika Kissinger
• Mindy S Kissinger
• Kaley Kitron
• Ryan Stephen Klanseck, D.O.
• Craig M. Kline, M.D.

• Chiropractor in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.