Active NPI
Kuehne Chiropractic and Wellness Center, Inc.
- Chiropractor
- Kings Beach, CA
National Provider Identifier
1720647639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- KUEHNE CHIROPRACTIC AND WELLNESS CENTER, INC.
- Practice address
- 695 Wolf St # 2979
Kings Beach, CA 96143-4503 - Phone
- (530) 546-8201
- NPI assigned
- Jun 13, 2019
- Last updated
- Feb 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debra A. Green
- Title
- Office Manager
- Phone
- (530) 546-8201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
695 Wolf St # 2979
Kings Beach, CA 96143-4503
Mailing address
695 Wolf St # 2979
Kings Beach, CA 96143-4503
Phone (530) 546-8201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC21056 | Other | CA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Kings Beach, CA
- NPI 1053489385
-
- Acupuncturist
- Kings Beach, CA
- NPI 1497633135
-
- Chiropractor
- Kings Beach, CA
- NPI 1184606691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581465600000",
"number": "1720647639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 WOLF ST # 2979",
"city": "KINGS BEACH",
"state": "CA",
"postal_code": "961434503",
"telephone_number": "530-546-8201",
"fax_number": "530-546-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 WOLF ST # 2979",
"city": "KINGS BEACH",
"state": "CA",
"postal_code": "961434503",
"telephone_number": "530-546-8201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KUEHNE CHIROPRACTIC AND WELLNESS CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-13",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "530-546-8201",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "DC21056",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kings Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.