Doc Kiddy Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC12202 Issued in CA

Legal business name

DOC KIDDY CHIROPRACTIC, PC

Practice address

401 H St Ste 1
Chula Vista, CA 91910-4331

Phone

(619) 420-8430

Fax

(619) 420-8230

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery Bernard Kiddy, DCNPI 1245246578

Title

President

Phone

(619) 420-8430

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeffery Bernard Kiddy, DC

  • Chiropractor
  • Chula Vista, CA
  • NPI 1245246578
  NPD (past) Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154488500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 H ST STE 1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104331",
            "telephone_number": "619-420-8430",
            "fax_number": "619-420-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 H ST STE 1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104331",
            "telephone_number": "619-420-8430",
            "fax_number": "619-420-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC KIDDY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIDDY",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-420-8430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC12202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Reza Djavid, MD
• Lilyn Djie, DDS
• Roxanne Dluzak
• Hulbert Nguyen Viet DO, M.D.
• Mimi DO
• David Neal Dodd, D.C
• Kylie Elizabeth Dodson
• Zhanie Darl Lim Doliente, MHA
• Katrina Joy Domingo, PA-C
• Kristen T Domingo, PT

• Chiropractor in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.