Organization Active NPI

Chiropractic Wellness Clinic

  • Chiropractor
  • Milpitas, CA
National Provider Identifier
1861533069
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC WELLNESS CLINIC
Practice address
615 S Main St
Suite 1
Milpitas, CA 95035-8521
Phone
(408) 945-7717
Fax
(408) 946-8145
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Cynthia J Kim, D.C.NPI 1245394600
Title
Owner
Phone
(408) 945-7717

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

615 S Main St
Suite 1
Milpitas, CA 95035-8521

Mailing address

615 S Main St
Suite 1
Milpitas, CA 95035-8521
Phone (408) 945-7717

National Provider Directory

National Provider Directory

Locations

615 S Main St
Ste 1
Milpitas, CA 95035
Phone (408) 945-7717

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1861533069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358521",
            "telephone_number": "408-945-7717",
            "fax_number": "408-946-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358521",
            "telephone_number": "408-945-7717",
            "fax_number": "408-946-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-945-7717",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.