Agoura Hills Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

AGOURA HILLS CHIROPRACTIC CLINIC

Practice address

30313 Canwood St
#33
Agoura Hills, CA 91301-4326

Phone

(818) 991-4900

Fax

(818) 991-4509

NPI assigned

Aug 14, 2009

Last updated

Aug 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Dwain Johnson, D.C.NPI 1528133238

Title

President

Phone

(818) 991-4900

Specialties & licenses 1

Addresses

Locations

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.

• Kelly D Johnson, D.C.

  • Chiropractor
  • Agoura Hills, CA
  • NPI 1528133238
  NPD (past) Authorized official
• Michelle Martinkovic Caravello, D.C.

  • Chiropractor
  • Thousand Oaks, CA
  • NPI 1508883331
  NPD (past)
• Tyler Thomas Taylor, D.C.

  • Chiropractor
  • Camarillo, CA
  • NPI 1164447827
  NPD (past)

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1073745675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30313 CANWOOD ST",
            "address_2": "#33",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014326",
            "telephone_number": "818-991-4900",
            "fax_number": "818-991-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30313 CANWOOD ST",
            "address_2": "#33",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014326",
            "telephone_number": "818-991-4900",
            "fax_number": "818-991-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGOURA HILLS CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "DWAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-991-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affiliates in Medical Specialties Medical Group Inc
• Julie Rivers Affronti, MFT
• Aframian & Shamoeil Dental Corporation
• Afshin Samet MD
• Agoura Behavioral Health LLC
• Agoura Hills Health Care
• Agoura Hills Urgentocare PC (AFC Urgent Care)
• Agoura Neurofeedback (Awakenings Treatment Center)
• Agoura Neurofeedback, Inc. (Awakenings)
• Agoura Psychological Services, Inc.

• Chiropractor in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.