Active NPI
Jerilynn Sue Kaibel, D.C.
- Chiropractor
- Beaumont, CA
National Provider Identifier
1255369252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11322
- Practice address
- 851 E 6TH St
Suite B-1
Beaumont, CA 92223-2217 - Phone
- (951) 845-1931
- Fax
- (951) 845-0557
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11322 | CA | Primary |
Addresses
Primary practice location
851 E 6TH St
Suite B-1
Beaumont, CA 92223-2217
Mailing address
851 E 6TH St
Suite B-1
Beaumont, CA 92223-2217
Phone (951) 845-1931
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11322 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dark & Kaibel, D.C.'S | 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.
-
- Chiropractor
- Beaumont, CA
- NPI 1740480698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255369252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 E 6TH ST",
"address_2": "SUITE B-1",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922232217",
"telephone_number": "951-845-1931",
"fax_number": "951-845-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 E 6TH ST",
"address_2": "SUITE B-1",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922232217",
"telephone_number": "951-845-1931",
"fax_number": "951-845-0557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIBEL",
"first_name": "JERILYNN",
"middle_name": "SUE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "11322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, 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.