Amber N. Kingsley D.C., Inc, a Chiropractic Corporation
Organization Active NPI Independent Medical Examiner Chiropractor · Modesto, CA
NPI 1386396018 · NPPES record last updated Sep 16, 2022
Key facts
- NPI
- 1386396018
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Independent Medical Examiner Chiropractor 111NI0013X
- Legal business name
- AMBER N. KINGSLEY D.C., INC, A CHIROPRACTIC CORPORATION
- Practice address
- 1012 Carver Rd
Modesto, CA 95350-4732 - Phone
- (209) 549-2215
- Fax
- (209) 549-2216
- NPI assigned
- Jan 24, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Amber N Kingsley, D.C.
- Title
- Ceo
- Phone
- (209) 549-2215
Practitioners 5
-
Amber N Stewart, D.C.
-
Justin Hovarter, DC
-
Rickie Edd Joy, DC
-
Dianne Jurgensen, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221205001752 | CA | Part B Supplier - Clinic/Group Practice | 3072900802 |
Receives reassigned benefits from 1 practitioner Practice locations: Modesto, CA |
National Provider Directory
Locations
1012 Carver Rd
Modesto, CA 95350
Phone (209) 549-2215
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor |
111NI0013X | Yes |
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
- Chiropractic Health Center
Other providers in Modesto, CA
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- Hannah Marie Lea Amaral
- Ashley Nicholle Amarillas
- Michael Amarillas
- Rachel Amato
- Obed Muhando Ambita
- Sonia Isabel Ambriz
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All providers in Modesto, CA · Independent Medical Examiner Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.