Organization Active NPI

Kinney Chiropractic, Inc.

  • Chiropractor
  • Placerville, CA
National Provider Identifier
1952453276
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC11465 Issued in CA
Legal business name
KINNEY CHIROPRACTIC, INC.
Doing business as
Kinney Chiropractic, Inc.
Practice address
4535 Missouri Flat Rd Ste 1F
Placerville, CA 95667-6808
Phone
(530) 344-9411
NPI assigned
Jan 17, 2007
Organization subpart
Yes
Parent organization
KINNEY CHIROPRACTIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Dr. Lee Bernard Kinney, DC, QME
Title
Owner
Phone
(530) 344-9411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC11465 CA Primary

Addresses

Primary practice location

4535 Missouri Flat Rd Ste 1F
Placerville, CA 95667-6808

Mailing address

4535 Missouri Flat Rd Ste 1F
Placerville, CA 95667-6808
Phone (530) 344-9411

Other names 1

  • Kinney Chiropractic, Inc. Doing business as

National Provider Directory

National Provider Directory
Part of
Lee B Kinney DC

Locations

6390 Runnymeade Dr
Ste B
Placerville, CA 95667
Phone (530) 291-5345

4535 Missouri Flat Rd
Ste 1F
Placerville, CA 95667
Phone (530) 344-9411

6390 Runnymeade Dr
Placerville, CA 95667

50 Main St
Placerville, CA 95667
Phone (530) 621-4090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1952453276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 MISSOURI FLAT RD STE 1F",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676808",
            "telephone_number": "530-344-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 MISSOURI FLAT RD STE 1F",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676808",
            "telephone_number": "530-344-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNEY CHIROPRACTIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINNEY CHIROPRACTIC, INC.",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-344-9411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, QME"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinney Chiropractic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kinney Chiropractic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.