Organization Active NPI

Mark Kimes DC Chiropractic Inc

  • Chiropractor
  • Salinas, CA
National Provider Identifier
1740335249
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17504 Issued in CA
Legal business name
MARK KIMES DC CHIROPRACTIC INC
Practice address
17 E San Joaquin Street
Salinas, CA 93901-2903
Phone
(831) 757-2232
Fax
(831) 757-6415
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Steven Kimes, DCNPI 1952563264
Title
Owner
Phone
(831) 757-2232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 17504 CA Primary

Addresses

Primary practice location

17 E San Joaquin Street
Salinas, CA 93901-2903

Mailing address

17 E San Joaquin Street
Salinas, CA 93901-2903
Phone (831) 757-2232

Other names 1

  • Back Pain Neck Pain and Headache Relief Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131115000108 CA Part B Supplier - Clinic/Group Practice 7618103938 Receives reassigned benefits from 1 practitioner
Practice locations: Salinas, CA

National Provider Directory

National Provider Directory

Locations

17 E San Joaquin St
Salinas, CA 93901
Phone (831) 757-2232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740335249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E SAN JOAQUIN STREET",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012903",
            "telephone_number": "831-757-2232",
            "fax_number": "831-757-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E SAN JOAQUIN STREET",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012903",
            "telephone_number": "831-757-2232",
            "fax_number": "831-757-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK KIMES DC CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-757-2232",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Pain Neck Pain and Headache Relief Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.