Individual provider Active NPI

Kathleen Marie Schklair Mims, DC

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1922181833
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7796 Issued in FL
Practice address
1749 NE 26 St Ste F
Ft Lauderdale, FL 33305
Phone
(954) 566-1349
Fax
(954) 566-1385
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7796 FL Primary

Addresses

Primary practice location

1749 NE 26 St Ste F
Ft Lauderdale, FL 33305

Mailing address

1749 NE 26 St Ste F
Ft Lauderdale, FL 33305
Phone (954) 566-1349

Other names 1

  • Kathleen Marie Schklair Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041124000507 FL Practitioner - Chiropractic 8921062621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanessa Koutalidis DC and Kathleen Schklair DC PAGroup PAC ID 7214991918, 2 clinicians

Practice addresses (Care Compare)

1749 NE 26 St
Suite F
Wilton Manors, FL 33305-1428
Phone (954) 566-1349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa Koutalidis D.C. and Kathleen Schklair D.C., P.a. Chiropractor CurrentSince Jan 1, 2004 Accepting new patients

Locations

1749 NE 26th St
Ste F
Wilton Manors, FL 33305
Phone (954) 491-2835

Organizations & group practices 1

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922181833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 NE 26 ST STE F",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-566-1349",
            "fax_number": "954-566-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 NE 26 ST STE F",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-566-1349",
            "fax_number": "954-566-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHKLAIR MIMS",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "SCHKLAIR",
            "middle_name": "MARIE",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • 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.