Organization Active NPI

Kunsman Chiropractic, PC

Doing business as Vallejo Chiropractic

  • Chiropractor
  • Vallejo, CA
National Provider Identifier
1417577198
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KUNSMAN CHIROPRACTIC, PC
Doing business as
Vallejo Chiropractic
Practice address
11 Tennessee St
Vallejo, CA 94590-4335
Phone
(707) 553-2225
Fax
(707) 648-2501
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Dr. James Kunsman, DCNPI 1669758850
Title
Owner
Phone
(707) 553-2225

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11 Tennessee St
Vallejo, CA 94590-4335

Mailing address

11 Tennessee St
Vallejo, CA 94590-4335
Phone (707) 553-2225

Other practice location 1

3427 Broadway St Ste F3
American Canyon, CA 94503-1257
Phone (707) 980-2754

Other names 1

  • Vallejo Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220728000752 CA Part B Supplier - Clinic/Group Practice 8426447459 Receives reassigned benefits from 1 practitioner
Practice locations: Vallejo, CA

National Provider Directory

National Provider Directory

Locations

3427 Broadway St
Ste F3
American Canyon, CA 94503
Phone (707) 980-2754

11 Tennessee St
Vallejo, CA 94590
Phone (707) 553-2225

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1417577198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TENNESSEE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904335",
            "telephone_number": "707-553-2225",
            "fax_number": "707-648-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TENNESSEE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904335",
            "telephone_number": "707-553-2225",
            "fax_number": "707-648-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3427 Broadway St Ste F3",
            "address_purpose": "LOCATION",
            "city": "American Canyon",
            "state": "CA",
            "postal_code": "945031257",
            "country_code": "US",
            "telephone_number": "707-980-2754",
            "fax_number": "707-648-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KUNSMAN CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "KUNSMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-553-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vallejo Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vallejo Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.