Organization Active NPI

Platon Kavvadias, a Professional Chiropractic Corporation

  • Chiropractor
  • San Bruno, CA
National Provider Identifier
1912213539
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24438 Issued in CA
Legal business name
PLATON KAVVADIAS, A PROFESSIONAL CHIROPRACTIC CORPORATION
Practice address
654 Jenevein Ave
San Bruno, CA 94066-4230
Phone
(650) 877-0999
NPI assigned
Aug 19, 2010
Last updated
Aug 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
Mr. Platon Kavvadias, DC
Title
Chiropractor/ Owner
Phone
(650) 877-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24438 CA Primary

Addresses

Primary practice location

654 Jenevein Ave
San Bruno, CA 94066-4230

Mailing address

654 Jenevein Ave
San Bruno, CA 94066-4230
Phone (650) 877-0999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1912213539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 JENEVEIN AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664230",
            "telephone_number": "650-877-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 JENEVEIN AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664230",
            "telephone_number": "650-877-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATON KAVVADIAS, A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "KAVVADIAS",
        "authorized_official_first_name": "PLATON",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "650-877-0999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.