Martha Dandridge Bordonaro, D.C.
Individual provider Active NPI Chiropractor · Templeton, CA
NPI 1013207604 · NPPES record last updated Apr 15, 2011
Key facts
- NPI
- 1013207604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 15661 (CA)
- Practice address
- 1051 Las Tablas Rd
Templeton, CA 93465-5603 - Phone
- (805) 434-0288
- NPI assigned
- Apr 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig a Beuttler Chiropractic | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15661 | CA | Yes |
| Nutrition Chiropractor | 111NN1001X | 15661 | CA |
Addresses
Primary practice location
1051 Las Tablas Rd
Templeton, CA 93465-5603
Mailing address
1051 Las Tablas Rd
Templeton, CA 93465-5603
Phone (805) 434-0288
Other providers in Templeton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.