Active NPI
Kenneth W Pierce, DC
- Nutrition Chiropractor
- Temecula, CA
National Provider Identifier
1023031895
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Nov 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- DC28996
- Practice address
- 28900 Old Town Front St
Suite 103
Temecula, CA 92590-2856 - Phone
- (951) 694-1485
- Fax
- (951) 694-1072
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | DC28996 | CA | Primary |
Addresses
Primary practice location
28900 Old Town Front St
Suite 103
Temecula, CA 92590-2856
Mailing address
28900 Old Town Front St
Suite 103
Temecula, CA 92590-2856
Phone (951) 694-1485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28996 | CA | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023031895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28900 OLD TOWN FRONT ST",
"address_2": "SUITE 103",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902856",
"telephone_number": "951-694-1485",
"fax_number": "951-694-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28900 OLD TOWN FRONT ST",
"address_2": "SUITE 103",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902856",
"telephone_number": "951-694-1485",
"fax_number": "951-694-1072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "KENNETH",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "DC28996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.