NPIMap

Organization Active NPI

Oceanside Blvd Chiropractic

  • Massage Therapist
  • Oceanside, CA
National Provider Identifier
1043915200
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
OCEANSIDE BLVD CHIROPRACTIC
Practice address
4055 Oceanside Blvd Ste E
Oceanside, CA 92056-5821
Phone
(760) 764-4040
Fax
(760) 764-4044
NPI assigned
Apr 4, 2023
Organization subpart
Yes
Parent organization
JASON KULLMANN, D.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Dr. Jason Bradley Kullmann, D.C.NPI 1285624189
Title
Owner/Operator
Phone
(760) 764-4040

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

4055 Oceanside Blvd Ste E
Oceanside, CA 92056-5821

Mailing address

4055 Oceanside Blvd Ste E
Oceanside, CA 92056-5821
Phone (760) 764-4040

National Provider Directory

National Provider Directory
Part of
Oceanside Blvd Chiropractic

Locations

4055 Oceanside Blvd
Ste E
Oceanside, CA 92056
Phone (760) 726-1953

Practitioners & affiliated clinicians

Practitioners 4

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": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1043915200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 OCEANSIDE BLVD STE E",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565821",
            "telephone_number": "760-764-4040",
            "fax_number": "760-764-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 OCEANSIDE BLVD STE E",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565821",
            "telephone_number": "760-764-4040",
            "fax_number": "760-764-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE BLVD CHIROPRACTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JASON KULLMANN, D.C.",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "KULLMANN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "760-764-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.