NPIMap

Organization Active NPI

Tsamoutalidis Chiropractic Corporatio

  • Chiropractor
  • Newport Coast, CA
National Provider Identifier
1528346285
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28189 Issued in CA
Legal business name
TSAMOUTALIDIS CHIROPRACTIC CORPORATIO
Practice address
21139 Newport Coast Dr
Newport Coast, CA 92657-1122
Phone
(951) 314-3088
Fax
(951) 840-2320
NPI assigned
Jul 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Mr. Konstantinos Tsamoutalidis, DCNPI 1801055876
Title
Owner
Phone
(951) 314-3088

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 SINGLE SPECIALTY GROUP 111N00000X DC28189 CA Primary

Addresses

Primary practice location

21139 Newport Coast Dr
Newport Coast, CA 92657-1122

Mailing address

14 Tranto Dr
Newport Coast, CA 92657-1508
Phone (951) 314-3088

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1528346285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TRANTO DR",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571508",
            "telephone_number": "951-314-3088",
            "fax_number": "951-840-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21139 NEWPORT COAST DR",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571122",
            "telephone_number": "951-314-3088",
            "fax_number": "951-840-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSAMOUTALIDIS CHIROPRACTIC CORPORATIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "TSAMOUTALIDIS",
        "authorized_official_first_name": "KONSTANTINOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-314-3088",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Coast, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.