Kacie Flegal, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5580 Issued in OR

Practice address

465 Miller Ave
Mill Valley, CA 94941-2941

Phone

(415) 389-8435

Fax

(415) 389-1097

NPI assigned

Apr 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health-Link Medical Center

  • Rehabilitation Chiropractor
  • Oceanside, CA
  • NPI 1013181379
  NPD (past)
• Joshua Deitch Chiropractic, Inc

  • Rehabilitation Chiropractor
  • Mill Valley, CA
  • NPI 1063534170
  NPD (past)

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1992947980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 OAK ST STE 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201877",
            "telephone_number": "415-497-4546",
            "fax_number": "541-708-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412941",
            "telephone_number": "415-389-8435",
            "fax_number": "415-389-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEGAL",
        "first_name": "KACIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5580",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "OR",
            "license": "5580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ward B. Flad, MD
• Caitlin Reilly Flanagan
• Wilson Bezerra Flanders, MA, LPCC, LMHC
• Jessica Flanigan
• Catherine Flaxman, LMFT
• Jai Flicker
• Laravic Trance Flores, M.D.
• Tracy Elizabeth Foose, M.D.
• Denise Genevieve Santos Ford, CCC - SLP
• Patrick Ford, LMFT

• Chiropractor in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.