Active NPI
Jason Kieth Park, D.C.
- Chiropractor
- Sunnyvale, CA
National Provider Identifier
1407000599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31077
- Practice address
- 333 W El Camino Real
Suite 390
Sunnyvale, CA 94087-1973 - Phone
- (408) 733-7330
- NPI assigned
- Nov 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31077 | CA | Primary |
Addresses
Primary practice location
333 W El Camino Real
Suite 390
Sunnyvale, CA 94087-1973
Mailing address
1656 Yosemite Dr
Milpitas, CA 95035-6550
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": "1226793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226793600000",
"number": "1407000599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1656 YOSEMITE DR",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950356550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W EL CAMINO REAL",
"address_2": "SUITE 390",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940871973",
"telephone_number": "408-733-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JASON",
"middle_name": "KIETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-16",
"last_updated": "2008-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.