Chaunce Phoenyx, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 29774 Issued in CA

Practice address

2114 Senter Rd
Suite 23
San Jose, CA 95112-2608

Phone

(408) 998-5463

Fax

(408) 998-5464

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1003991126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 SENTER RD",
            "address_2": "SUITE 23",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122608",
            "telephone_number": "408-998-5463",
            "fax_number": "408-998-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 SENTER RD",
            "address_2": "SUITE 23",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122608",
            "telephone_number": "408-998-5463",
            "fax_number": "408-998-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOENYX",
        "first_name": "CHAUNCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 29774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.