Active NPI
Clinton Lane Kinnear, D.C.
- Chiropractor
- Carlsbad, CA
National Provider Identifier
1730258989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104002014
- Practice address
- 785 Grand Ave
#100
Carlsbad, CA 92008-2370 - Phone
- (760) 729-3200
- Fax
- (760) 729-3201
- NPI assigned
- Nov 6, 2006
- Last updated
- Jun 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104002014 | VA | Primary |
Addresses
Primary practice location
785 Grand Ave
#100
Carlsbad, CA 92008-2370
Mailing address
PO Box 1176
Cardiff, CA 92007-7176
Phone (760) 908-9053
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publico Chiropractic in | Chiropractor | Past | Accepting new patients |
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": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1730258989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1176",
"city": "CARDIFF",
"state": "CA",
"postal_code": "920077176",
"telephone_number": "760-908-9053",
"fax_number": "760-729-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 GRAND AVE",
"address_2": "#100",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082370",
"telephone_number": "760-729-3200",
"fax_number": "760-729-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEAR",
"first_name": "CLINTON",
"middle_name": "LANE",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104002014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.