DR. TIMOTHY J KISTLER D.C.
NPI 1043366347
Chiropractor in Quincy, MA

Q: What is Timothy Kistler's NPI number?

The NPI number for Timothy Kistler is 1043366347. It was assigned to this individual provider in the NPPES registry on January 27, 2007.

Q: What is Timothy Kistler's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Kistler was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 27, 2007Accepts Medicare Assignment

111 WILLARD ST STE 2A, QUINCY, MA 02169(617) 804-7464(617) 471-1114 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2021, May 14, 2021 (2 updates tracked since 2021).

On this page

About Dr. Timothy J Kistler D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY J KISTLER D.C. (NPI 1043366347) is an individual chiropractor in Quincy, Massachusetts, licensed in Massachusetts (3594) and active in the NPI registry since January 2007. He maintains a secondary practice location in Indianapolis and is a graduate of Palmer College Chiropractic - Davenport (1988).

NPPES Registry Identity

NPI1043366347

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. TIMOTHY J KISTLERCredential: D.C.

Location Address111 WILLARD ST STE 2AQuincy, MA 02169-1274

Mailing Address703 Granite St, Ste 3Braintree, MA 02184-5350 · (317) 826-2273 · Fax (317) 826-2673

Phone(617) 804-7464

Fax(617) 471-1114

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - DavenportGraduated 1988

Enumeration DateJanuary 27, 2007

Last NPPES UpdateMay 25, 20212 updates tracked since enumeration

NPPES CertifiedMay 25, 2021

✔ NPI 1043366347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MA · 3594

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 08001237 (IN)

111 WILLARD ST STE 2A, Quincy, MA 02169

Open in Google Maps ↗

Secondary Practice Location 1

Location 15845 Sunnyside Rd, Suite 800Indianapolis, IN 46235-8402 · Phone (317) 826-2273 · Fax (317) 826-2673

Other Identifiers 5

Other000000344943IN · Bcbs

OtherP00006924IN · Railroad Medicare

OtherAETNAIN · 4351909

Medicaid200077400AIN

Other6904776002IN · Cigna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy J Kistler D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466402839

PECOS Enrollment IDI20231011001261

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL WADKINS DPT

Physical Therapist