Organization Active NPI

George Kyriopoulos

  • Chiropractor
  • San Jacinto, CA
National Provider Identifier
1801078290
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0157070 Issued in CA
Legal business name
GEORGE KYRIOPOULOS
Practice address
711 W Eslplanade
Suite B
San Jacinto, CA 92582
Phone
(951) 654-6263
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
George Kyriopoulos, DC
Title
Owner
Phone
(951) 654-6263

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC0157070 CA Primary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X DC0157070 CA
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X DC0157070 CA
Orthopedic ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0800X DC0157070 CA

Addresses

Primary practice location

711 W Eslplanade
Suite B
San Jacinto, CA 92582

Mailing address

711 W Eslplanade
Suite B
San Jacinto, CA 92582
Phone (951) 654-6263

Other identifiers 1

IdentifierTypeStateIssuer
DC0157070MedicaidCA

National Provider Directory

National Provider Directory

Locations

711 W Esplanade Ave
Ste B
San Jacinto, CA 92582
Phone (951) 654-6263

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1801078290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W ESLPLANADE",
            "address_2": "SUITE B",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "92582",
            "telephone_number": "951-654-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W ESLPLANADE",
            "address_2": "SUITE B",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "92582",
            "telephone_number": "951-654-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE KYRIOPOULOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "KYRIOPOULOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-654-6263",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0157070",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "DC0157070",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC0157070",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC0157070",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0157070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.