Organization Active NPI

Kristen Bohnet, DC, Lac, Acupuncture Corporation

Doing business as Bohnet Acupuncture and Chiropractic

  • Chiropractor
  • La Quinta, CA
National Provider Identifier
1356580856
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27563 Issued in CA
Legal business name
KRISTEN BOHNET, DC, LAC, ACUPUNCTURE CORPORATION
Doing business as
Bohnet Acupuncture and Chiropractic
Practice address
79440 Highway 111
Suite 104
La Quinta, CA 92253-4500
Phone
(760) 771-2332
Fax
(760) 771-2316
NPI assigned
Feb 7, 2009
Last updated
Apr 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Dr. Kristen Bohnet, D.C., L.AC.NPI 1619902798
Title
President
Phone
(760) 771-2332

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27563 CA Primary
Acupuncturist 171100000X AC8325 CA

Addresses

Primary practice location

79440 Highway 111
Suite 104
La Quinta, CA 92253-4500

Mailing address

79440 Highway 111
Suite 104
La Quinta, CA 92253-4500
Phone (760) 771-2332

Other names 1

  • Bohnet Acupuncture and Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161115002606 CA Part B Supplier - Clinic/Group Practice 1951680974 Receives reassigned benefits from 2 practitioners
Practice locations: La Quinta, CA

National Provider Directory

National Provider Directory

Locations

47875 Caleo Bay Dr
Ste 104A
La Quinta, CA 92253
Phone (760) 771-2332

79440 Highway 111
Ste 104
La Quinta, CA 92253
Phone (760) 771-2332

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1356580856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79440 HIGHWAY 111",
            "address_2": "SUITE 104",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534500",
            "telephone_number": "760-771-2332",
            "fax_number": "760-771-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79440 HIGHWAY 111",
            "address_2": "SUITE 104",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534500",
            "telephone_number": "760-771-2332",
            "fax_number": "760-771-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN BOHNET, DC, LAC, ACUPUNCTURE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-07",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "BOHNET",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-771-2332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27563",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bohnet Acupuncture and Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.