Konstantinos Tsamoutalidis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28189 Issued in CA

Practice address

21139 Newport Coast Dr
Newport Beach, CA 92657

Phone

(951) 640-2988

Fax

(951) 755-0395

NPI assigned

Jun 5, 2008

Last updated

Jun 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tsamoutalidis Chiropractic Corporatio

  • Chiropractor
  • Newport Coast, CA
  • NPI 1528346285
  NPD (past) Authorized official

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1801055876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21139 NEWPORT COAST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92657",
            "telephone_number": "951-640-2988",
            "fax_number": "951-755-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21139 NEWPORT COAST DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92657",
            "telephone_number": "951-640-2988",
            "fax_number": "951-755-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAMOUTALIDIS",
        "first_name": "KONSTANTINOS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinh Truong
• Vuanh Nguyen Truong
• Alice Tsai, D.O.
• Patricia Shih-Ting Tsai, M.D.
• Tracee Tsai, OTR/L
• Gene Tsuno, PHARM. D
• Nadezhda Tsvetkova-Stal, L.AC
• Alexander Tu, M.D.
• Desiree Idolly Tucker, NP BC
• Lawrence Vernon Tucker, M.D.

• Chiropractor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.