KELLY GIBSONCHIROPRACTIC, INC
KELLY GIBSONCHIROPRACTIC, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1336686153, based in Vista, CA. The organization lists 4 taxonomy classifications, with Internist Chiropractor recorded as primary.
Getting there
The practice address on file is 1929 W VISTA WAY SUITE C, Vista, CA 92083. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| DC25328 | CA | Internist Chiropractor primary |
| DC10902 | CA | Sports Physician Chiropractor |
| DC25328 | CA | Nutrition Chiropractor |
| DC25328 | CA | Rehabilitation Chiropractor |
This provider holds licence DC25328 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Internist covers
The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. NUCC Health Care Provider Taxonomy, code 111NI0900X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 111NI0900X | Internist Chiropractor Internist | DC25328 | CA | primary |
| 111NS0005X | Sports Physician Chiropractor Sports Physician | DC10902 | CA | |
| 111NN1001X | Nutrition Chiropractor Nutrition | DC25328 | CA | |
| 111NR0400X | Rehabilitation Chiropractor Rehabilitation | DC25328 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1336686153 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 31, 2017 |
| Last updated | Jan 31, 2017 |
| Status | Active |
| Practice address |
1929 W VISTA WAY SUITE C Vista, CA 92083 (760) 724-5700 Fax (760) 724-9878 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 3 | 6 | 6 | 8 | 6 | 1 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 6 | 6 | 3 | 8 | 3 | 1 | 1 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.