Harbor Bay Chiropractic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

17346 Issued in CA

Legal business name

HARBOR BAY CHIROPRACTIC, INC.

Practice address

1151 Harbor Bay Pkwy
Suite 127
Alameda, CA 94502-6540

Phone

(510) 521-6211

Fax

(510) 521-6214

NPI assigned

Feb 16, 2011

Organization subpart

No

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

Authorized official

Name

Kimball Wong, D.C.NPI 1174697411

Title

Owner

Phone

(510) 521-6211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Kimball Wong, D.C.

  • Chiropractor
  • Alameda, CA
  • NPI 1174697411
  Medicare reassignment NPD Authorized official
• Riley Eldon Miller, DC

  • Chiropractor
  • Alameda, CA
  • NPI 1295568970
  NPD (past)

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1164729760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 HARBOR BAY PKWY",
            "address_2": "SUITE 127",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945026540",
            "telephone_number": "510-521-6211",
            "fax_number": "510-521-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 HARBOR BAY PKWY",
            "address_2": "SUITE 127",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945026540",
            "telephone_number": "510-521-6211",
            "fax_number": "510-521-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR BAY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "KIMBALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-521-6211",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "17346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hane
• Johnathan Hanlin
• Aimee Hanna, MFA
• Olivia Hanson
• Anders Sven Hansson, O.D.
• Harbor Bay Optometry Dba Alameda Eyes Optometry
• Mikhaila Anne Hargrove
• Tina Louise Harper
• Angel Harris
• Kiara Harris

• Clinic/Center in Alameda, CA
• Providers in Alameda, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.