DR. WYATT RICHARD KISSLING (NPI# 1851951610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851951610 |
| Entity Type | Individual |
| Full Name | DR. WYATT RICHARD KISSLING |
| Credential | DC |
| Practice Address |
26135 N 85th Dr Peoria AZ 85383-3608 |
| Practice Telephone | 6029038382 |
| Mailing Telephone | 6029038382 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 34569 | CA | Chiropractic Providers |
| Street Address |
26135 N 85TH DR |
| City | PEORIA |
| State | AZ |
| Zip Code | 85383-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1528694247 | Lake Pleasant Kids Dentists and Orthodontics, LLP | Dentist | 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 | 2020-03-13 |
| 1124502273 | Nicole Angelina Hennigan | Registered Nurse | 9710 W. Happy Valley Rd, Suite 100 (salon 16), Peoria, AZ 85383 | 2018-09-24 |
| 1962994012 | Reach for The Stars Pediatric Therapy Pllc | Physical Therapy Assistant | 8662 W Lariat Ln, Peoria, AZ 85383 | 2018-06-05 |
| 1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
| 1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
| 1255857827 | Advanced Air Amulance LLC | Ambulance | 9463 West El Cortez Place, Peoria, AZ 85383 | 2017-08-16 |
| 1427578996 | Paul R Arthur | Physical Therapist | 9745 W. Happy Valley Rd, Peoria, AZ 85383 | 2017-06-26 |
| 1528597143 | Lucy Denton | Specialist/Technologist | 9234 West Andrea Drive, Peoria, AZ 85383 | 2017-06-07 |
| 1801263579 | John Leano | Pharmacist | 26898 N 87th Dr, Peoria, AZ 85383 | 2015-08-28 |
| Find all providers in zip 85383 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094557 | Chiro One Wellness Center of Peoria LLC | Chiropractor | 4125 N Sheridan Rd, Peoria, IL 61614-7167 | 2019-10-10 |
| 1134778418 | Benjamin Charles Deig | Chiropractor | 7800 N Sommer St Ste 203, Peoria, IL 61615-1990 | 2019-09-09 |
| 1336707447 | Pyle Family Chiropractic Pllc | Chiropractor | 10200 W Happy Valley Pkwy Ste 135, Peoria, AZ 85383-2879 | 2019-06-04 |
| 1356849772 | Brandie Long | Chiropractor | 4125 N Sheridan Rd Ste 14, Peoria, IL 61614-7181 | 2018-01-31 |
| 1457865933 | Hanna Ariella Singer | Chiropractor | 1401 W Covington Ct Apt 17, Peoria, IL 61614-5859 | 2017-11-20 |
| 1548798333 | Bryan Scott Rand | Chiropractor | 6750 W Thunderbird Rd Ste B-101, Peoria, AZ 85381-5026 | 2017-05-24 |
| 1568903433 | Timothy Ballitch | Chiropractor | 8765 W Kelton Ln Ste B4, Peoria, AZ 85382-5010 | 2017-03-13 |
| 1215398367 | Alp Wellness Inc | Chiropractor | 4700 N University St Spc 65, Peoria, IL 61614-5849 | 2016-03-17 |
| 1275912545 | Lindsey Lea Rafool | Chiropractor | 719 W Lake Ave, Peoria, IL 61614-5941 | 2015-05-20 |
| 1780080879 | Ryno Family Chiropractic, Pllc | Chiropractor | 10204 W Happy Valley Rd Ste 135, Peoria, AZ 85383-2880 | 2014-11-17 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.