Brant Dan Konja, LMT - MASSAGE

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

3945 8TH Ave Unit 2
San Diego, CA 92103-3243

Phone

(248) 890-1214

NPI assigned

Jan 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1952014011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 8TH AVE UNIT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033243",
            "telephone_number": "248-890-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 8TH AVE UNIT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033243",
            "telephone_number": "248-890-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONJA",
        "first_name": "BRANT",
        "middle_name": "DAN",
        "credential": "LMT - MASSAGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Sing Kui Kong, PMHNP-BC
• John Thomas Konieczny III, RN, BSN, CEN
• Matilde A Konigsberg, LMFT
• Jeffrey Lawrence Koning, M.D.
• Lawrence Koning, M.D.
• Chanel Terry Konja, M.A. CCC-SLP
• Sandra Konja, PSYD
• Eyesun Konjkavfard, D.C
• Michelle N Konnerth
• Yuko Kono, M.D.

• Massage Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.