Active NPI
Dilliard Chiropractic Professional Corporation
- Chiropractor
- El Cajon, CA
National Provider Identifier
1013178219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC15908
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ50212Z | Other | CA | BLUE SHIELD PROVIDER IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- El Cajon, CA
- NPI 1417975046
-
- Chiropractor
- San Diego, CA
- NPI 1962605170
-
- Chiropractor
- El Cajon, CA
- NPI 1891892840
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.