Kelly T. Mai, a Professional Chiropractic Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

DC27481 Issued in CA

Legal business name

KELLY T. MAI, A PROFESSIONAL CHIROPRACTIC CORPORATION

Doing business as

Mai Chiropractic and Acupuncture

Practice address

12801-B Mountain Ave
Chino, CA 91710

Phone

(909) 464-8585

NPI assigned

Feb 4, 2013

Last updated

Feb 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kelly T Mai, D.C., L.AC.NPI 1629008362

Title

Chiropractor and Acupuncturist

Phone

(909) 464-8585

Specialties & licenses 2

Addresses

Other names 1

• Mai Chiropractic and Acupuncture Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly T Mai, D.C.,L.AC

  • Acupuncturist
  • Chino, CA
  • NPI 1629008362
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1578802013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801-B MOUNTAIN AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-464-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801-B MOUNTAIN AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-464-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY T. MAI, A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIROPRACTOR AND ACUPUNCTURIST",
        "authorized_official_telephone_number": "909-464-8585",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C., L.AC."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "DC27481",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "AC9251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mai Chiropractic and Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiranjeet Kaur, FNP-C
• Anthony D Kavorinos, DDS
• Kathleen Satsuki Kawashima, PHARMD
• Anna Kayani, AGNP-BC
• Emilie Lazatin Kedilerli
• Karine Kennedy
• Cameron James Kerr, PHARMD
• M Dean Kerr, DC
• Astha Khadka
• Ola Khalil

• Multi-Specialty Clinic/Center in Chino, CA
• Providers in Chino, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.