NPIMap

Organization Active NPI

Kingsbury Chiropractic LLC

  • Chiropractor
  • Stateline, NV
National Provider Identifier
1487025656
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NV2015145727 Issued in NV
Legal business name
KINGSBURY CHIROPRACTIC LLC
Practice address
276 Kingsbury Grade
#1050
Stateline, NV 89449-9804
Phone
(775) 580-7833
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Dr. Christopher Pavich, D.C.
Title
Doctor
Phone
(775) 781-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X NV2015145727 NV Primary

Addresses

Primary practice location

276 Kingsbury Grade
#1050
Stateline, NV 89449-9804

Mailing address

PO Box 2183
Stateline, NV 89449-2183
Phone (775) 580-7833

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1487025656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2183",
            "city": "STATELINE",
            "state": "NV",
            "postal_code": "894492183",
            "telephone_number": "775-580-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 KINGSBURY GRADE",
            "address_2": "#1050",
            "city": "STATELINE",
            "state": "NV",
            "postal_code": "894499804",
            "telephone_number": "775-580-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBURY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "PAVICH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "775-781-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "NV2015145727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stateline, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.