Individual provider Active NPI

Sean Shukue Kono, D.C.

  • Chiropractor
  • Upland, CA
National Provider Identifier
1154491017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25459 Issued in CA
Practice address
886 W Foothill Blvd Ste E
Upland, CA 91786-3780
Phone
(909) 956-2673
Fax
(909) 926-1872
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25459 CA Primary

Addresses

Primary practice location

886 W Foothill Blvd Ste E
Upland, CA 91786-3780

Mailing address

886 W Foothill Blvd Ste E
Upland, CA 91786-3780
Phone (909) 956-2673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25459CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Valley Rehabilitation Center of Chino Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154491017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 W FOOTHILL BLVD STE E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863780",
            "telephone_number": "909-956-2673",
            "fax_number": "909-926-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 W FOOTHILL BLVD STE E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863780",
            "telephone_number": "909-956-2673",
            "fax_number": "909-926-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONO",
        "first_name": "SEAN",
        "middle_name": "SHUKUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.