NPIMap

Individual provider Active NPI

Wendy Yang Kincaid, D.C.

  • Chiropractor
  • North Hollywood, CA
National Provider Identifier
1629231634
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 30898 Issued in CA
Practice address
11650 Riverside Drive
Suite 5
North Hollywood, CA 91602
Phone
(818) 980-1221
Fax
(818) 980-3221
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 30898 CA Primary

Addresses

Primary practice location

11650 Riverside Drive
Suite 5
North Hollywood, CA 91602

Mailing address

11650 Riverside Drive
Suite 5
North Hollywood, CA 91602
Phone (818) 980-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC 30898CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Moussavi & Tovanyan Medical Group Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1629231634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 RIVERSIDE DRIVE",
            "address_2": "SUITE 5",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91602",
            "telephone_number": "818-980-1221",
            "fax_number": "818-980-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 RIVERSIDE DRIVE",
            "address_2": "SUITE 5",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91602",
            "telephone_number": "818-980-1221",
            "fax_number": "818-980-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "WENDY",
        "middle_name": "YANG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 30898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.