Mark Kingsbury

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

28108 Issued in CA

Legal business name

MARK KINGSBURY

Practice address

15000 Los Gatos Blvd
#2
Los Gatos, CA 95032

Phone

(408) 358-5200

Fax

(408) 358-5256

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Mark B Kingsbury, D.C.NPI 1225275076

Title

Owner

Phone

(408) 358-5200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

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

• Mark Blaine Kingsbury, D.C.

  • Chiropractor
  • Los Gatos, CA
  • NPI 1225275076
  NPD (past) Authorized official

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1295734671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 LOS GATOS BLVD",
            "address_2": "#2",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-358-5200",
            "fax_number": "408-358-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 LOS GATOS BLVD",
            "address_2": "#2",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-358-5200",
            "fax_number": "408-358-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK KINGSBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "KINGSBURY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-358-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Margolis, M.D.
• Marianne Nielsen Chiropractic Neurology Inc.
• Camille Mariano, PT, DPT
• Olivia Marie Marik-Reis, MD
• Marina Yam MD Professional Corporation
• Mark M. Segall, MD, a Medical Corporation
• Albert M Marland, M.D.
• Marshal Rosaio MD, a Medical Corp
• Malinda Marshall, PT
• Lorena Martinez Michel

• Chiropractor in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.