Active NPI
Kerry Lynn Keiser, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1497957302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC22030
- Practice address
- 1274 Morena Blvd
San Diego, CA 92110-3815 - Phone
- (619) 276-7575
- Fax
- (619) 276-6362
- NPI assigned
- Jun 3, 2007
- Sex
- Female
- 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 | DC22030 | CA | Primary |
Addresses
Primary practice location
1274 Morena Blvd
San Diego, CA 92110-3815
Mailing address
549 Orange Ave
Coronado, CA 92118-1826
Phone (619) 437-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130221000412 | CA | Practitioner - Chiropractic | 9234384389 | Practice locations: Coronado, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1010 8TH St
Suite B
Coronado, CA 92118-2189
Phone (619) 437-4900
1010 8TH St B
Coronado, CA 92118-2189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22030 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen J Moffett OD a Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Coronado, CA
- NPI 1669651980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497957302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "549 ORANGE AVE",
"city": "CORONADO",
"state": "CA",
"postal_code": "921181826",
"telephone_number": "619-437-4900",
"fax_number": "619-276-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1274 MORENA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103815",
"telephone_number": "619-276-7575",
"fax_number": "619-276-6362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEISER",
"first_name": "KERRY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC22030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.