Organization Active NPI

Jay Kunard Chiropractic a Professional Corporation

  • Medical Specialty Clinic/Center
  • San Diego, CA
National Provider Identifier
1063839363
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
DC-31308 Issued in CA
Legal business name
JAY KUNARD CHIROPRACTIC A PROFESSIONAL CORPORATION
Practice address
12750 Carmel Country Rd
207
San Diego, CA 92130-2159
Phone
(858) 481-4126
Fax
(858) 481-7354
NPI assigned
Mar 25, 2014
Last updated
Mar 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Jay Kunard, D.C.NPI 1447480850
Title
Owner
Phone
(858) 481-4126

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
Medical Specialty Clinic/Center 261QM2500X DC-31308 CA Primary

Addresses

Primary practice location

12750 Carmel Country Rd
207
San Diego, CA 92130-2159

Mailing address

12750 Carmel Country Rd
207
San Diego, CA 92130-2159
Phone (858) 481-4126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140715002374 CA Part B Supplier - Clinic/Group Practice 7315162971 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

12750 Carmel Country Rd
Ste 207
San Diego, CA 92130
Phone (858) 481-4124

Practitioners & affiliated clinicians

Practitioners 3

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": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1063839363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD",
            "address_2": "207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302159",
            "telephone_number": "858-481-4126",
            "fax_number": "858-481-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD",
            "address_2": "207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302159",
            "telephone_number": "858-481-4126",
            "fax_number": "858-481-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY KUNARD CHIROPRACTIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "KUNARD",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-481-4126",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "DC-31308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.