Organization Active NPI

Kinsella Chiropractic Inc

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1093907867
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28570 Issued in CA
Legal business name
KINSELLA CHIROPRACTIC INC
Practice address
4501 Mission Bay Dr Ste 2D
San Diego, CA 92109-4925
Phone
(858) 581-1828
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Kris Gerard Kinsella, D.CNPI 1831112366
Title
Owner
Phone
(858) 581-1828

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC28570 CA Primary

Addresses

Primary practice location

4501 Mission Bay Dr Ste 2D
San Diego, CA 92109-4925

Mailing address

4501 Mission Bay Dr Ste 2D
San Diego, CA 92109-4925
Phone (858) 581-1828

Other identifiers 3

IdentifierTypeStateIssuer
W18822OtherCAMEDICARE GROUP ID
WDC28570AOtherCAMEDICARE MEMBER ID
4275636MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1093907867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DR STE 2D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094925",
            "telephone_number": "858-581-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DR STE 2D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094925",
            "telephone_number": "858-581-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSELLA CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "KINSELLA",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-581-1828",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "W18822",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MEMBER ID",
            "identifier": "WDC28570A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4275636",
            "state": "CA"
        }
    ],
    "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 Aug 5, 2008; 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.