Organization Active NPI

Kirk Chiropractic, Inc.

  • Independent Medical Examiner Chiropractor
  • Pleasanton, CA
National Provider Identifier
1609050962
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
DC25729 Issued in CA
Legal business name
KIRK CHIROPRACTIC, INC.
Practice address
148 Ray St Ste a
Pleasanton, CA 94566-6649
Phone
(925) 484-0191
Fax
(925) 484-0194
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Dr. George O. Kirk IV, D.C. QME
Title
Owner
Phone
(925) 484-0191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X DC25729 CA Primary

Addresses

Primary practice location

148 Ray St Ste a
Pleasanton, CA 94566-6649

Mailing address

148 Ray St Ste a
Pleasanton, CA 94566-6649

Other names 1

  • Amador Valley Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080516000619 CA Part B Supplier - Clinic/Group Practice 7810066842 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasanton, CA

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": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1609050962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 RAY ST STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666649",
            "fax_number": "925-484-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 RAY ST STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666649",
            "telephone_number": "925-484-0191",
            "fax_number": "925-484-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-484-0191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.C. QME"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC25729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amador Valley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.