Individual provider Active NPI

Charles Joseph Konya Jr.

  • Chiropractor
  • Canyon Country, CA
National Provider Identifier
1366478539
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16455 Issued in CA
Practice address
18520 Soledad Canyon Rd
Suite F
Canyon Country, CA 91351-3775
Phone
(661) 298-9500
Fax
(661) 250-0323
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC16455 CA Primary

Addresses

Primary practice location

18520 Soledad Canyon Rd
Suite F
Canyon Country, CA 91351-3775

Mailing address

24607 Garland Dr
Valencia, CA 91355-4962
Phone (661) 253-0785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1366478539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24607 GARLAND DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554962",
            "telephone_number": "661-253-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18520 SOLEDAD CANYON RD",
            "address_2": "SUITE F",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513775",
            "telephone_number": "661-298-9500",
            "fax_number": "661-250-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONYA",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.