Organization Active NPI

Dilliard Chiropractic Professional Corporation

  • Chiropractor
  • El Cajon, CA
National Provider Identifier
1013178219
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC15908 Issued in CA
Legal business name
DILLIARD CHIROPRACTIC PROFESSIONAL CORPORATION
Practice address
531 N Magnolia Ave
El Cajon, CA 92020-3608
Phone
(619) 447-2651
Fax
(619) 447-2493
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. James Christopher Dilliard, D.C.NPI 1417975046
Title
President
Phone
(619) 447-2651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC15908 CA Primary

Addresses

Primary practice location

531 N Magnolia Ave
El Cajon, CA 92020-3608

Mailing address

531 N Magnolia Ave
El Cajon, CA 92020-3608
Phone (619) 447-2651

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ50212ZOtherCABLUE SHIELD PROVIDER IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110808000777 CA Part B Supplier - Clinic/Group Practice 6305015371 Receives reassigned benefits from 2 practitioners
Practice locations: El Cajon, CA

National Provider Directory

National Provider Directory

Locations

531 N Magnolia Ave
El Cajon, CA 92020
Phone (619) 447-2651

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1013178219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 N MAGNOLIA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203608",
            "telephone_number": "619-447-2651",
            "fax_number": "619-447-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 N MAGNOLIA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203608",
            "telephone_number": "619-447-2651",
            "fax_number": "619-447-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLIARD CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "DILLIARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-447-2651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER IDENTIFICATION NUMBER",
            "identifier": "ZZZ50212Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.