100 Chiropractic Sietsema Inc
Organization Active NPI Chiropractor · Encinitas, CA
NPI 1902409030 · NPPES record last updated Dec 5, 2020
Key facts
- NPI
- 1902409030
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- 100 CHIROPRACTIC SIETSEMA INC
- Practice address
- 272 N El Camino Real Ste C
Encinitas, CA 92024-2857 - Phone
- (760) 230-2145
- NPI assigned
- Nov 20, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Kendra Sietsema, DC
- Title
- Doctor/Owner
- Phone
- (612) 889-9722
Practitioners 3
-
Kendra Sietsema, D.C.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
272 N El Camino Real Ste C
Encinitas, CA 92024-2857
Mailing address
272 N El Camino Real Ste C
Encinitas, CA 92024-2857
Phone (760) 230-2145
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528499050 | Medicaid | CA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | drkendra@100percentdoc.com | Direct |
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.