Kinetic Wellness Center. Dr. George Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC22678 Issued in CA

Legal business name

KINETIC WELLNESS CENTER. DR. GEORGE CHIROPRACTIC CORP

Practice address

6940 Santa Teresa Blvd Ste 6
San Jose, CA 95119-1345

Phone

(408) 429-2888

Fax

(405) 622-4251

NPI assigned

Dec 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Douglas A George, DC

Title

Owner/Ceo/Managing W-2 Employee

Phone

(408) 799-2366

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1548668528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 SANTA TERESA BLVD STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191345",
            "telephone_number": "408-429-2888",
            "fax_number": "405-622-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 SANTA TERESA BLVD STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191345",
            "telephone_number": "408-429-2888",
            "fax_number": "405-622-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC WELLNESS CENTER. DR. GEORGE CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CEO/MANAGING W-2 EMPLOYEE",
        "authorized_official_telephone_number": "408-799-2366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.