KIM STUART VAN DER VEER DC CCSP NPI 1437119062

NPI Information

  • NPI: 1437119062
  • Provider Name: KIM STUART VAN DER VEER, DC, CCSP
  • Classification: Chiropractor - 111NS0005X
  • Specialization: Sports Physician
  • Entity Type: Individual
  • Address: 1134 TROY SCHENECTADY RD
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 783-1908

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NPI Details

Kim Stuart Van Der Veer, DC, CCSP is a sports physician chiropractor in Latham, NY with 40 years of experience. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. Kim Stuart Van Der Veer, DC, CCSP NPI is 1437119062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NATIONAL COLLEGE OF CHIROPRACTIC
Graduation Year:1986

The provider's business location address is:

1134 TROY SCHENECTADY RD
LATHAM, NY
ZIP 12110-006
Phone: (518) 783-1908
Fax: (518) 783-1909

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 3/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NS0005XChiropractorSports PhysicianX005017NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10013200OTHERNEW YORKGHI
2X3317OTHERNEW YORKBCBS PROV. #
3566114OTHERNEW YORKUNITED HEALTHCARE
410019433OTHERNEW YORKCDPHP PROV. #
5141690724-01OTHERNEW YORKPRISM PROV. #
6000445021001OTHERNEW YORKBLUE SHIELD PROV. #
7911601OTHERNEW YORKACN GROUP
850569BMEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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