NPIMap

Organization Active NPI

Amber N. Kingsley D.C., Inc, a Chiropractic Corporation

Doing business as Chiropractic Health Center

  • Independent Medical Examiner Chiropractor
  • Modesto, CA
National Provider Identifier
1386396018
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
Legal business name
AMBER N. KINGSLEY D.C., INC, A CHIROPRACTIC CORPORATION
Doing business as
Chiropractic Health Center
Practice address
1012 Carver Rd
Modesto, CA 95350-4732
Phone
(209) 549-2215
Fax
(209) 549-2216
NPI assigned
Jan 24, 2022
Last updated
Sep 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Dr. Amber N Kingsley, D.C.
Title
Ceo
Phone
(209) 549-2215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NI0013X Primary

Addresses

Primary practice location

1012 Carver Rd
Modesto, CA 95350-4732

Mailing address

1012 Carver Rd
Modesto, CA 95350-4732
Phone (209) 549-2215

Other names 1

  • Chiropractic Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221205001752 CA Part B Supplier - Clinic/Group Practice 3072900802 Receives reassigned benefits from 1 practitioner
Practice locations: Modesto, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1386396018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 CARVER RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504732",
            "telephone_number": "209-549-2215",
            "fax_number": "209-549-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 CARVER RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504732",
            "telephone_number": "209-549-2215",
            "fax_number": "209-549-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER N. KINGSLEY D.C., INC, A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-549-2215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chiropractic Health Center",
            "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 Sep 16, 2022; 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.