Individual provider Active NPI

Paul Kypros, D.C.

  • Chiropractor
  • Emeryville, CA
National Provider Identifier
1043452683
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26084 Issued in CA
Practice address
6363 Christie Ave Apt 1202
Emeryville, CA 94608-1921
Phone
(510) 427-4894
NPI assigned
Mar 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26084 CA Primary

Addresses

Primary practice location

6363 Christie Ave Apt 1202
Emeryville, CA 94608-1921

Mailing address

6363 Christie Ave Apt 1202
Emeryville, CA 94608-1921

Other identifiers 1

IdentifierTypeStateIssuer
DC26084OtherCALICENSE NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26084CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1043452683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 CHRISTIE AVE APT 1202",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 CHRISTIE AVE APT 1202",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081921",
            "telephone_number": "510-427-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYPROS",
        "first_name": "PAUL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC26084",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.