Organization Active NPI

Kevin Kroes Chiropractic Corp

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1063523322
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23037 Issued in CA
Legal business name
KEVIN KROES CHIROPRACTIC CORP
Practice address
18017 Sky Park Cir
Ste. F
Irvine, CA 92614-6519
Phone
(949) 862-7499
Fax
(949) 862-7496
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Kevin C Kroes, D.C.
Title
President
Phone
(949) 862-7499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC23037 CA Primary

Addresses

Primary practice location

18017 Sky Park Cir
Ste. F
Irvine, CA 92614-6519

Mailing address

18017 Sky Park Cir
Ste. F
Irvine, CA 92614-6519
Phone (949) 862-7499

National Provider Directory

National Provider Directory

Locations

18017 Sky Park Cir
Ste F
Irvine, CA 92614
Phone (949) 862-7499

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1063523322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18017 SKY PARK CIR",
            "address_2": "STE. F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146519",
            "telephone_number": "949-862-7499",
            "fax_number": "949-862-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18017 SKY PARK CIR",
            "address_2": "STE. F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146519",
            "telephone_number": "949-862-7499",
            "fax_number": "949-862-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN KROES CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KROES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-862-7499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.