Organization Active NPI

Kien Ta Chiropractic Inc

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1750867974
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
23384 Issued in CA
Legal business name
KIEN TA CHIROPRACTIC INC
Practice address
3902 El Cajon Blvd Ste B
San Diego, CA 92105-1016
Phone
(619) 283-6615
Fax
(619) 283-5772
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Dr. Kien Ta, DCNPI 1518022599
Title
President
Phone
(619) 280-8383

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 23384 CA Primary

Addresses

Primary practice location

3902 El Cajon Blvd Ste B
San Diego, CA 92105-1016

Mailing address

3902 El Cajon Blvd Ste B
San Diego, CA 92105-1016
Phone (619) 283-6615

Other practice location 1

9888 Carroll Centre Rd Ste 106
San Diego, CA 92126-4580
Phone (858) 586-7799

Other names 1

  • CK Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

3902 El Cajon Blvd
Ste B
San Diego, CA 92105
Phone (619) 283-6615

9888 Carroll Centre Rd
Ste 106
San Diego, CA 92126
Phone (858) 586-7799

Practitioners & affiliated clinicians

Practitioners 2

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": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1750867974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 EL CAJON BLVD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051016",
            "telephone_number": "619-283-6615",
            "fax_number": "619-283-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 EL CAJON BLVD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051016",
            "telephone_number": "619-283-6615",
            "fax_number": "619-283-5772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9888 Carroll Centre Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921264580",
            "country_code": "US",
            "telephone_number": "858-586-7799",
            "fax_number": "858-586-7709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIEN TA CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "KIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-280-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CK Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CK Chiropractic Center",
            "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 Jul 11, 2018; 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.