Active NPI
Daniel Christopher Kimbley, DC
- Chiropractor
- Dana Point, CA
National Provider Identifier
1639678147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34093
- Practice address
- 34085 Pacific Coast Hwy Ste 114
Dana Point, CA 92629-2765 - Phone
- (949) 356-0556
- NPI assigned
- Feb 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34093 | CA | Primary |
Addresses
Primary practice location
34085 Pacific Coast Hwy Ste 114
Dana Point, CA 92629-2765
Mailing address
34085 Pacific Coast Hwy Ste 114
Dana Point, CA 92629-2765
Phone (949) 356-0556
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34093 | CA | MD | Health Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518220800000",
"number": "1639678147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34085 PACIFIC COAST HWY STE 114",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926292765",
"telephone_number": "949-356-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34085 PACIFIC COAST HWY STE 114",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926292765",
"telephone_number": "949-356-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBLEY",
"first_name": "DANIEL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-10",
"last_updated": "2018-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dana Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.