Active NPI
Kinsella Chiropractic Inc
- Chiropractor
- San Diego, CA
National Provider Identifier
1093907867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28570
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kris Gerard Kinsella, D.C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W18822 | Other | CA | MEDICARE GROUP ID |
| WDC28570A | Other | CA | MEDICARE MEMBER ID |
| 4275636 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- San Diego, CA
- NPI 1831112366
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
- Regan Kinney, MA
- Thomas Brian Kinney, M.D.
- Shinichi Kino, D.C.
- Ryan Tatsuo Haaheo Kinoshita, PHARMD
- Kinsella Acupuncture Professional Corporation (To The Point Gaslamp Acupuncture)
- Christine Kinsella, L.AC.
- Kris Gerard Kinsella, D.C
- Mary Jo Kinsella, DO, FACOG
- Antonio Kinsey, LMT
- Tiffany Rae Kinslow
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.