Active NPI
Kurt Kristopher Webb, D.C.
- Chiropractor
- Lincoln, CA
National Provider Identifier
1083825434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0025563
- Practice address
- 671 1St St
Suite B
Lincoln, CA 95648-1803 - Phone
- (916) 434-0600
- Fax
- (916) 434-0603
- NPI assigned
- May 25, 2007
- Last updated
- Oct 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0025563 | CA | Primary |
Addresses
Primary practice location
671 1St St
Suite B
Lincoln, CA 95648-1803
Mailing address
15520 Rockfield Blvd A200
Irvine, CA 92618-6705
Phone (949) 598-9999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0255330 | Other | CA | PTAN |
| DC0255330 | Other | CA | BLUE SHIELD |
| DC25533 | Other | CA | CHIROPRACTIC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040413001896 | CA | Practitioner - Chiropractic | 5698769479 | Practice locations: Lincoln, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25533 | CA | MD | Social Worker |
| DC0025563 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joshua Longo D.C. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Lincoln, CA
- NPI 1053782151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1083825434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15520 ROCKFIELD BLVD A200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926186705",
"telephone_number": "949-598-9999",
"fax_number": "949-598-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 1ST ST",
"address_2": "SUITE B",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956481803",
"telephone_number": "916-434-0600",
"fax_number": "916-434-0603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "KURT",
"middle_name": "KRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC0025563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "DC0255330",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "DC0255330",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "DC25533",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.