Paul Kinney, ATC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

1753 9TH St
202
Santa Monica, CA 90404-4313

Phone

(516) 353-1140

Fax

(310) 564-1966

NPI assigned

Jul 16, 2009

Last updated

Jul 16, 2009By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1639309297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 9TH ST",
            "address_2": "202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044313",
            "telephone_number": "516-353-1140",
            "fax_number": "310-564-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 9TH ST",
            "address_2": "202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044313",
            "telephone_number": "516-353-1140",
            "fax_number": "310-564-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "PAUL",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ATHLETIC TRAINERS' ASSOCIATION",
            "identifier": "069902535",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alishia King
• Jonathan C. King, M.D.
• Mary Anne King
• Tracy King
• Stephen Kingston, D.D.S
• Russ Kino, MD
• Masha Kinsey, FNP
• Kinship Care and Therapy License Clinical Social Worker P.C (Kinship Care and Therapy)
• Jennifer Prehn Kious, MD
• Kristen Anna Kipps, MD

• Durable Medical Equipment & Medical Supplies in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.