Individual provider Active NPI

Kira Wong Capozzolo, DC

  • Chiropractor
  • Solana Beach, CA
National Provider Identifier
1073258083
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34482 Issued in CA
Practice address
990 Highland Dr Ste 110Y
Solana Beach, CA 92075-3403
Phone
(760) 487-8106
NPI assigned
May 3, 2022
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34482 CA Primary

Addresses

Primary practice location

990 Highland Dr Ste 110Y
Solana Beach, CA 92075-3403

Mailing address

990 Highland Dr Ste 110Y
Solana Beach, CA 92075-3403
Phone (760) 487-8106

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Waves Wellness Center CurrentSince May 22, 2022 Accepting new patients

Locations

990 Highland Dr
Ste 110Y
Solana Beach, CA 92075
Phone (619) 997-2055

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1073258083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HIGHLAND DR STE 110Y",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920753403",
            "telephone_number": "760-487-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 HIGHLAND DR STE 110Y",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920753403",
            "telephone_number": "760-487-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOZZOLO",
        "first_name": "KIRA",
        "middle_name": "WONG",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.