Active NPI
Kevin Barkley Linzey, D.C.
- Chiropractor
- Petaluma, CA
National Provider Identifier
1902109960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31857
- Practice address
- 191 Lynch Creek Way
Ste 201
Petaluma, CA 94954-2389 - Phone
- (707) 762-4449
- Fax
- (707) 762-4754
- NPI assigned
- Dec 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31857 | CA | Primary |
Addresses
Primary practice location
191 Lynch Creek Way
Ste 201
Petaluma, CA 94954-2389
Mailing address
191 Lynch Creek Way
Ste 201
Petaluma, CA 94954-2389
Phone (707) 762-4449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31857 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500508800000",
"number": "1902109960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 LYNCH CREEK WAY",
"address_2": "STE 201",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542389",
"telephone_number": "707-762-4449",
"fax_number": "707-762-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 LYNCH CREEK WAY",
"address_2": "STE 201",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542389",
"telephone_number": "707-762-4449",
"fax_number": "707-762-4754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINZEY",
"first_name": "KEVIN",
"middle_name": "BARKLEY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-14",
"last_updated": "2017-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.