Active NPI
Robert Jordan Adams, D.C.
- Nutrition Chiropractor
- Scotts Valley, CA
National Provider Identifier
1003209974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 33208
- Practice address
- 5435 Scotts Valley Dr
Suite B
Scotts Valley, CA 95066-3429 - Phone
- (831) 234-9528
- NPI assigned
- Mar 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 33208 | CA | Primary |
Addresses
Primary practice location
5435 Scotts Valley Dr
Suite B
Scotts Valley, CA 95066-3429
Mailing address
85 Rio Robles E Unit 1111
San Jose, CA 95134-1652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33208 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1003209974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 RIO ROBLES E UNIT 1111",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951341652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5435 SCOTTS VALLEY DR",
"address_2": "SUITE B",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950663429",
"telephone_number": "831-234-9528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ROBERT",
"middle_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-16",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "33208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.