Organization Active NPI

Neurological Healing, Inc.

Doing business as New Century Spine Centers

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1669797833
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC016440 Issued in CA
Legal business name
NEUROLOGICAL HEALING, INC.
Doing business as
New Century Spine Centers
Practice address
2835 Camino del Rio S Ste 110
San Diego, CA 92108-3825
Phone
(619) 630-9153
Fax
(619) 550-4671
NPI assigned
Mar 31, 2010
Last updated
Mar 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Dr. Dirk Hans Kancilia, D.C
Title
President
Phone
(619) 630-9153

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC016440 CA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC27281 CA

Addresses

Primary practice location

2835 Camino del Rio S Ste 110
San Diego, CA 92108-3825

Mailing address

2835 Camino del Rio S Ste 110
San Diego, CA 92108-3825
Phone (619) 630-9153

Other names 1

  • New Century Spine Centers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1669797833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 CAMINO DEL RIO S STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083825",
            "telephone_number": "619-630-9153",
            "fax_number": "619-550-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 CAMINO DEL RIO S STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083825",
            "telephone_number": "619-630-9153",
            "fax_number": "619-550-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL HEALING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "KANCILIA",
        "authorized_official_first_name": "DIRK",
        "authorized_official_middle_name": "HANS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-630-9153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC016440",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Century Spine Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 31, 2010; 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.