Organization Active NPI

Lee J. Kauffman, DC a Chiropractic Corp

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1104936418
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12199 Issued in CA
Legal business name
LEE J. KAUFFMAN, DC A CHIROPRACTIC CORP
Practice address
3829 Watt Ave
Sacramento, CA 95821-2646
Phone
(916) 488-6570
Fax
(916) 488-8466
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Lee Jonathon Kauffman, D.C.
Title
President
Phone
(916) 488-6570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12199 CA Primary

Addresses

Primary practice location

3829 Watt Ave
Sacramento, CA 95821-2646

Mailing address

3829 Watt Ave
Sacramento, CA 95821-2646
Phone (916) 488-6570

Other identifiers 1

IdentifierTypeStateIssuer
1619979523OtherCATYPE-1 NPI

National Provider Directory

National Provider Directory

Locations

3829 Watt Ave
Sacramento, CA 95821
Phone (916) 488-6570

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1104936418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 WATT AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212646",
            "telephone_number": "916-488-6570",
            "fax_number": "916-488-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 WATT AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212646",
            "telephone_number": "916-488-6570",
            "fax_number": "916-488-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE J. KAUFFMAN, DC A CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "KAUFFMAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "JONATHON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-488-6570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "12199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE-1 NPI",
            "identifier": "1619979523",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.