NPIMap

Organization Active NPI

Divine Chiropractic Center, LLC

  • Chiropractor
  • Kearny, NJ
National Provider Identifier
1194060392
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00638600 Issued in NJ
Legal business name
DIVINE CHIROPRACTIC CENTER, LLC
Practice address
221 Kearny Ave
Kearny, NJ 07032-2437
Phone
(973) 494-4533
NPI assigned
Nov 29, 2012
Last updated
Nov 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Dr. Kathleen Calixto, DCNPI 1164742516
Title
Chiropractor
Phone
(973) 494-4533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00638600 NJ Primary

Addresses

Primary practice location

221 Kearny Ave
Kearny, NJ 07032-2437

Mailing address

PO Box 4
Belleville, NJ 07109-0004
Phone (973) 494-4533

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1194060392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071090004",
            "telephone_number": "973-494-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322437",
            "telephone_number": "973-494-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "CALIXTO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "973-494-4533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00638600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.