Active NPI
Kortmeyer Chiropractic Inc
- Chiropractor
- Cathedral City, CA
National Provider Identifier
1891164117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 23036
- Legal business name
- KORTMEYER CHIROPRACTIC INC
- Practice address
- 34-950 Date Palm Drive
Cathedral City, CA 92234-6833 - Phone
- (760) 321-1453
- Fax
- (760) 324-6656
- NPI assigned
- Sep 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David E Kortmeyer, D.C.
- Title
- President
- Phone
- (760) 321-1453
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 23036 | CA | Primary |
| Chiropractor | 111N00000X | 22829 | CA |
Addresses
Primary practice location
34-950 Date Palm Drive
Cathedral City, CA 92234-6833
Mailing address
PO Box 1843
Cathedral City, CA 92235-1843
Phone (760) 321-1453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
34950 Date Palm Dr
Cathedral City, CA 92234
Phone (760) 321-1453
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Cathedral City, CA
- NPI 1689748352
-
- Chiropractor
- Cathedral City, CA
- NPI 1942374616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463529600000",
"number": "1891164117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1843",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922351843",
"telephone_number": "760-321-1453",
"fax_number": "760-324-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34-950 DATE PALM DRIVE",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922346833",
"telephone_number": "760-321-1453",
"fax_number": "760-324-6656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KORTMEYER CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-16",
"last_updated": "2016-05-18",
"status": "A",
"authorized_official_last_name": "KORTMEYER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-321-1453",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "23036",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "22829",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cathedral City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.