Kendra Kautz, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34795 Issued in CA

Practice address

204 30TH St Apt a
Newport Beach, CA 92663-3436

Phone

(949) 478-0216

NPI assigned

Mar 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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 and National Provider Directory roles.

• Steven E Shaffer DC a Chiropractic Corporation

  • Chiropractor
  • Costa Mesa, CA
  • NPI 1922372143
  NPD (past)

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1851926802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 30TH ST APT A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633436",
            "telephone_number": "562-453-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 30TH ST APT A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633436",
            "telephone_number": "949-478-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUTZ",
        "first_name": "KENDRA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@doctorkendra.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "204 30th St Apt A",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926633436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathy Karamlou, M.D., Inc., a Medical Corporation
• Ratnaja Katneni, MD
• Gregory Katz, MD
• Joel Katz, M.D
• Ronald Louise Katz, M. D.
• Caroline Kawasawa
• Owen Kawasawa
• Kaitlin Kawata
• Steven K. Kawata, D.D.S.
• Shahem Kawji, 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 Jan 14, 2023; 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.