Organization Active NPI

Healy Chiropractic Corporation

  • Chiropractor
  • Soquel, CA
National Provider Identifier
1003085440
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27606 Issued in CA
Legal business name
HEALY CHIROPRACTIC CORPORATION
Practice address
3065 Porter St Ste 105
Soquel, CA 95073-2231
Phone
(831) 476-3865
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Krista Vickie Healy, D.C.NPI 1023049756
Title
Owner
Phone
(831) 476-3865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC27606 CA Primary
Radiology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0200X DC27606 CA

Addresses

Primary practice location

3065 Porter St Ste 105
Soquel, CA 95073-2231

Mailing address

3065 Porter St Ste 105
Soquel, CA 95073-2231
Phone (831) 476-3865

Other identifiers 1

IdentifierTypeStateIssuer
DC0276060MedicaidCA

Other names 1

  • In-Line Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

3065 Porter St
Ste 105
Soquel, CA 95073
Phone (831) 345-2035

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1003085440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 PORTER ST STE 105",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732231",
            "telephone_number": "831-476-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 PORTER ST STE 105",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732231",
            "telephone_number": "831-476-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALY CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "VICKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-476-3865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27606",
            "primary": true
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "CA",
            "license": "DC27606",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0276060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In-Line Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.