Provider Demographics
NPI:1689694663
Name:HANDY, JAMES K (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:K
Last Name:HANDY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 CAMPUS DR
Mailing Address - Street 2:STE 130
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-1930
Mailing Address - Country:US
Mailing Address - Phone:949-252-1228
Mailing Address - Fax:
Practice Address - Street 1:4100 CAMPUS DR
Practice Address - Street 2:STE 130
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-1930
Practice Address - Country:US
Practice Address - Phone:949-252-1228
Practice Address - Fax:949-252-0451
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06153111N00000X
CADC21346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS01-06153OtherKANSAS BOARD OF HEALING ARTS