Individual provider Active NPI

Kenneth Wayne Lounsbury, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1659565828
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-28119 Issued in CA
Practice address
2333 1St Ave
105
San Diego, CA 92101-1596
Phone
(619) 238-2434
NPI assigned
Aug 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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-28119 CA Primary

Addresses

Primary practice location

2333 1St Ave
105
San Diego, CA 92101-1596

Mailing address

2333 1St Ave
105
San Diego, CA 92101-1596
Phone (619) 238-2434

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
DC-28119CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1659565828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 1ST AVE",
            "address_2": "105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011596",
            "telephone_number": "619-238-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 1ST AVE",
            "address_2": "105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011596",
            "telephone_number": "619-238-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUNSBURY",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-28119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.