Active NPI
Michael Lee Kimmel, DC
- Chiropractor
- Harleysville, PA
National Provider Identifier
1942397294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007187L
- Practice address
- 349 Main St
Harleysville, PA 19438-2419 - Phone
- (215) 256-1385
- Fax
- (215) 256-1386
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007187L | PA | Primary |
Addresses
Primary practice location
349 Main St
Harleysville, PA 19438-2419
Mailing address
349 Main St
Harleysville, PA 19438-2419
Phone (215) 256-1385
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0274956000 | Other | PA | KEYSTONE PERSONAL CHOICE |
| 2560677 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121130000334 | PA | Practitioner - Chiropractic | 4183876915 | Practice locations: Harleysville, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
349 Main St
Harleysville, PA 19438-2419
Phone (215) 256-1385
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1942397294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 MAIN ST",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194382419",
"telephone_number": "215-256-1385",
"fax_number": "215-256-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 MAIN ST",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194382419",
"telephone_number": "215-256-1385",
"fax_number": "215-256-1386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMEL",
"first_name": "MICHAEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007187L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE PERSONAL CHOICE",
"identifier": "0274956000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2560677",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harleysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.