NPIMap

Organization Active NPI

Kda & Associates, Inc.

Doing business as The Heavenly Spa

  • Massage Therapist
  • Modesto, CA
National Provider Identifier
1336419324
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
11164 Issued in CA
Legal business name
KDA & ASSOCIATES, INC.
Doing business as
The Heavenly Spa
Practice address
817 Coffee Rd
Suite D
Modesto, CA 95355-4241
Phone
(209) 527-6100
Fax
(209) 527-6107
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Mrs. Kristi Lynn Anthony
Title
Cfo
Phone
(209) 527-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 11164 CA Primary

Addresses

Primary practice location

817 Coffee Rd
Suite D
Modesto, CA 95355-4241

Mailing address

817 Coffee Rd
Suite D
Modesto, CA 95355-4241
Phone (209) 527-6100

Other names 1

  • The Heavenly Spa Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1336419324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COFFEE RD",
            "address_2": "SUITE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554241",
            "telephone_number": "209-527-6100",
            "fax_number": "209-527-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COFFEE RD",
            "address_2": "SUITE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554241",
            "telephone_number": "209-527-6100",
            "fax_number": "209-527-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDA & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "209-527-6100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "11164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heavenly Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.