Tony Patrick Kimball, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6240 Issued in CO

Practice address

357 North Mountain View Drive
Suite 100
Bayfield, CO 81122

Phone

(970) 884-3312

NPI assigned

Jun 11, 2008

Last updated

Mar 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aspenwood Chiropractic LLC

  • Chiropractor
  • Bayfield, CO
  • NPI 1467693424
  Authorized official Same address or phone
• Pencechiropractic

  • Chiropractor
  • Durango, CO
  • NPI 1194843573
  NPD (past)
• Southwest Alternative Medical, Inc.

  • Sports Physician Chiropractor
  • Durango, CO
  • NPI 1700054772
  NPD (past)

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1982864260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811220261",
            "telephone_number": "970-884-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 NORTH MOUNTAIN VIEW DRIVE",
            "address_2": "SUITE 100",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "81122",
            "telephone_number": "970-884-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "TONY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Jaymes Horrocks, LPC
• Integrative Wellness Therapy
• Lisa Isenberg, MSN PNP
• Joshua Ryan Jimenez
• Jessica Keitz, LCSW
• Preston R Knight, D.D.S.
• La Plata County School District 10 JT-R
• Lake Chiropractic, PC
• Andrew Edgar Lake, D.C.
• Anne Lane, LPC

• Chiropractor in Bayfield, CO
• Providers in Bayfield, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.