Individual provider Active NPI

Kay Marine, D.C.

  • Chiropractor
  • Glendale, CA
National Provider Identifier
1649280157
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC12554 Issued in CA
Practice address
317 N Verdugo Rd
Glendale, CA 91206-3944
Phone
(818) 240-5403
Fax
(818) 240-2391
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC12554 CA Primary

Addresses

Primary practice location

317 N Verdugo Rd
Glendale, CA 91206-3944

Mailing address

317 N Verdugo Rd
Glendale, CA 91206-3944
Phone (818) 240-5403

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC12554CAMDChiropractor
12554CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
1St Defense Inc Past Accepting new patients
Anthony Chiropractic Inc Chiropractor PastSince Mar 1, 2001 Accepting new patients
Katherine Zalin Inc. Chiropractor PastSince May 22, 2016 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649280157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N VERDUGO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063944",
            "telephone_number": "818-240-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N VERDUGO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063944",
            "telephone_number": "818-240-5403",
            "fax_number": "818-240-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINE",
        "first_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC12554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.