Kris Gerard Kinsella, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28570 Issued in CA

Practice address

4501 Mission Bay Dr Ste 2D
San Diego, CA 92109-4925

Phone

(858) 581-1828

NPI assigned

Jul 25, 2006

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)

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 and National Provider Directory roles.

• Kinsella Chiropractic Inc

  • Chiropractor
  • San Diego, CA
  • NPI 1093907867
  NPD (past) Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1831112366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DR STE 2D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094925",
            "telephone_number": "858-581-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DR STE 2D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094925",
            "telephone_number": "858-581-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSELLA",
        "first_name": "KRIS",
        "middle_name": "GERARD",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shinichi Kino, D.C.
• Ryan Tatsuo Haaheo Kinoshita, PHARMD
• Kinsella Acupuncture Professional Corporation
• Kinsella Chiropractic Inc
• Christine Kinsella, L.AC.
• Mary Jo Kinsella, DO, FACOG
• Antonio Kinsey, LMT
• Tiffany Rae Kinslow
• Carrie Kintz, LCSW
• Thomas Kinzler

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

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