Organization Active NPI

Dr. Kevin Shaevitz Chiropractic Inc

  • Sports Physician Chiropractor
  • Yorba Linda, CA
National Provider Identifier
1063830537
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC 23109 Issued in CA
Legal business name
DR. KEVIN SHAEVITZ CHIROPRACTIC INC
Practice address
22222 La Palma Ave
Ste a
Yorba Linda, CA 92887-3813
Phone
(714) 692-7139
NPI assigned
Apr 2, 2014
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Kevin ShaevitzNPI 1013023712
Title
President
Phone
(714) 692-7139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC 23109 CA Primary

Addresses

Primary practice location

22222 La Palma Ave
Ste a
Yorba Linda, CA 92887-3813

Mailing address

22222 La Palma Ave
Ste a
Yorba Linda, CA 92887
Phone (714) 692-7139

National Provider Directory

National Provider Directory

Locations

22222 La Palma Ave
Ste A
Yorba Linda, CA 92887
Phone (714) 692-7139

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1063830537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22222 LA PALMA AVE",
            "address_2": "STE A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92887",
            "telephone_number": "714-692-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22222 LA PALMA AVE",
            "address_2": "STE A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873813",
            "telephone_number": "714-692-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KEVIN SHAEVITZ CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "SHAEVITZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-692-7139"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC 23109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.