Kinetic Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33084 Issued in CA

Legal business name

KINETIC CHIROPRACTIC

Practice address

3156 Sports Arena Boulevard
Suite 106
San Diego, CA 92110

Phone

(818) 687-0867

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Justin Thomas Paquette, D.C.

Title

Doctor of Chiropractic

Phone

(818) 687-0867

Specialties & licenses 1

Addresses

Tax ID family

Dr Justin Paquette DC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Justin Paquette, DC

  • Chiropractor
  • Seattle, WA
  • NPI 1417312042
  NPD tax ID
• Justin Paquette, DC

  • Chiropractor
  • Bainbridge Island, WA
  • NPI 1205291564
  NPD tax ID

Locations

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1285038653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 SPORTS ARENA BLVD",
            "address_2": "STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 SPORTS ARENA BOULEVARD",
            "address_2": "SUITE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92110",
            "telephone_number": "818-687-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "PAQUETTE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "818-687-0867",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Kindelan
• Alexandra Hope Kinderman
• Kindred Dahlia - a Sister Care Group LLC
• Antonay Nicole Kindred
• Rosalina Lucero Kiner, PHARMACY TECHNICIAN
• Kinetic Dynamics LLC
• King Home Care Corporation
• King One Transportation LLC
• King Speech Pathology Services, Inc.
• King-Chavez Community High School

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.