Kevin F Priestley Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC13648 Issued in CA

Legal business name

KEVIN F PRIESTLEY CHIROPRACTIC CORPORATION

Doing business as

Priestley Chiropractic Group, Inc.

Practice address

3 Corporate Plaza Dr
Suite 200
Newport Beach, CA 92660-7932

Phone

(949) 640-7030

Fax

(949) 640-0356

NPI assigned

Mar 15, 2007

Last updated

Dec 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin F Priestley, DCNPI 1033137021

Title

Owner

Phone

(949) 640-7030

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Priestley Chiropractic Group, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin F Priestley, DC

  • Chiropractor
  • Newport Beach, CA
  • NPI 1033137021
  Medicare reassignment Authorized official
• Daniel Thomas Garcia, D.C.

  • Chiropractor
  • Costa Mesa, CA
  • NPI 1740515717
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1033243696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORPORATE PLAZA DR",
            "address_2": "SUITE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607932",
            "telephone_number": "949-640-7030",
            "fax_number": "949-640-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORPORATE PLAZA DR",
            "address_2": "SUITE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607932",
            "telephone_number": "949-640-7030",
            "fax_number": "949-640-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN F PRIESTLEY CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "PRIESTLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-640-7030",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350004156",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priestley Chiropractic Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tessa Kershnar, MFT
• Lauren Kerstner, PA-C
• Michael Kessler, PHARMD
• Madeline Kettlewell
• Kevin Chun, M.D. Inc.
• Kevin J Lien M D Inc
• Kevin J. Lien M.D., Inc.
• Kevin Sadati, DO Professional Corporation
• Keyian Paydar, MD, PC (Paydar Plastic Surgery)
• Menashe Kfir, M.D.

• Chiropractor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.