NPIMap

Organization Active NPI

Wellness Chiropractic Center

  • Health Service Clinic/Center
  • San Jose, CA
National Provider Identifier
1306291414
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
DC27786 Issued in CA
Legal business name
WELLNESS CHIROPRACTIC CENTER
Practice address
2211 Moorpark Ave
Suite 280
San Jose, CA 95128-2654
Phone
(408) 634-8005
Fax
(888) 734-8668
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Ki T Kim, D.C.NPI 1629106117
Title
Owner
Phone
(408) 634-8005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X DC27786 CA Primary

Addresses

Primary practice location

2211 Moorpark Ave
Suite 280
San Jose, CA 95128-2654

Mailing address

2211 Moorpark Ave
Suite 280
San Jose, CA 95128-2654
Phone (408) 634-8005

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.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1306291414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE",
            "address_2": "SUITE 280",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282654",
            "telephone_number": "408-634-8005",
            "fax_number": "888-734-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE",
            "address_2": "SUITE 280",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282654",
            "telephone_number": "408-634-8005",
            "fax_number": "888-734-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-634-8005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "DC27786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.