Kenneth Scott Graham, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC18425 Issued in CA

Practice address

2191 S El Camino Real
Ste 105
Oceanside, CA 92054-6225

Phone

(760) 696-8872

NPI assigned

Nov 29, 2006

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1629145164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 S EL CAMINO REAL",
            "address_2": "STE 105",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546225",
            "telephone_number": "760-945-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 S EL CAMINO REAL",
            "address_2": "STE 105",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546225",
            "telephone_number": "760-696-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KENNETH",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Goyne, RN
• Asher Graaff, LMT
• Meigan Reid Grabman
• Charles Willard Grabowsky, DDS
• Lacey Gracia
• Mya Rhiannon Graham
• Teresa Nadine Grame, LCSW, ATR
• Mikhail P Grant, LVN
• Russell John Grant II, PT, DPT
• Tawny Grant

• Chiropractor in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.