Individual provider Active NPI

James Kunsman, DC

  • Chiropractor
  • Vallejo, CA
National Provider Identifier
1669758850
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32117 Issued in CA
Practice address
11 Tennesee Street
Vallejo, CA 94590-4335
Phone
(707) 553-2225
Fax
(707) 648-2501
NPI assigned
Nov 1, 2011
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC32117 CA Primary

Addresses

Primary practice location

11 Tennesee Street
Vallejo, CA 94590-4335

Mailing address

11 Tennesee Street
Vallejo, CA 94590-4335
Phone (707) 553-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220728000927 CA Practitioner - Chiropractic 1153588512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Tennessee St
Vallejo, CA 94590-4335
Phone (707) 553-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC32117CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kunsman Chiropractic, PC Chiropractor CurrentSince Mar 22, 2022 Accepting new patients

Locations

11 Tennessee St
Vallejo, CA 94590
Phone (707) 553-2225

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, 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": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1669758850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TENNESEE STREET",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904335",
            "telephone_number": "707-553-2225",
            "fax_number": "707-648-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TENNESEE STREET",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904335",
            "telephone_number": "707-553-2225",
            "fax_number": "707-648-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNSMAN",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-01",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.