Active NPI
Kenneth Stan Kowaleski, D.C.
- Orthopedic Chiropractor
- El Dorado Hills, CA
National Provider Identifier
1497989925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 29669
- Practice address
- 4919 Windplay Dr
Suite 3
El Dorado Hills, CA 95762-9331 - Phone
- (916) 384-8450
- NPI assigned
- May 12, 2009
- 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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 29669 | CA | Primary |
Addresses
Primary practice location
4919 Windplay Dr
Suite 3
El Dorado Hills, CA 95762-9331
Mailing address
2131 Starrlyn Way
Rancho Cordova, CA 95670-2233
Phone (916) 384-8450
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29669 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1497989925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 STARRLYN WAY",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956702233",
"telephone_number": "916-384-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4919 WINDPLAY DR",
"address_2": "SUITE 3",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629331",
"telephone_number": "916-384-8450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALESKI",
"first_name": "KENNETH",
"middle_name": "STAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-12",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "29669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.