Organization Active NPI

Kendig Chiropractic, Inc

  • Chiropractor
  • Pine Grove, CA
National Provider Identifier
1225254758
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13430 Issued in CA
Legal business name
KENDIG CHIROPRACTIC, INC
Practice address
19881 Highway 8
Suite1
Pine Grove, CA 95665
Phone
(209) 296-1122
Fax
(209) 296-1142
NPI assigned
Apr 17, 2007
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Ms. Linda S Wagner
Title
Office Manager
Phone
(209) 296-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13430 CA Primary

Addresses

Primary practice location

19881 Highway 8
Suite1
Pine Grove, CA 95665

Mailing address

19881 Highway 88
Suite1A
Pine Grove, CA 95665
Phone (209) 296-1122

National Provider Directory

National Provider Directory

Locations

19881 State Highway 88
Ste 1
Pine Grove, CA 95665
Phone (209) 296-1122

19881 State Highway 88
Ste 1A
Pine Grove, CA 95665

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1225254758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19881 HIGHWAY 88",
            "address_2": "SUITE1A",
            "city": "PINE GROVE",
            "state": "CA",
            "postal_code": "95665",
            "telephone_number": "209-296-1122",
            "fax_number": "209-296-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19881 HIGHWAY 8",
            "address_2": "SUITE1",
            "city": "PINE GROVE",
            "state": "CA",
            "postal_code": "95665",
            "telephone_number": "209-296-1122",
            "fax_number": "209-296-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDIG CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-296-1122",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.