Dr. Bunyad Chiropractic Corporation

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC31246 Issued in CA

Legal business name

DR. BUNYAD CHIROPRACTIC CORPORATION

Practice address

208 E St
Santa Rosa, CA 95404-4426

Phone

(707) 522-1300

Fax

(707) 522-1313

NPI assigned

Dec 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Darius Bunyad, D.C.NPI 1528290392

Title

President

Phone

(707) 522-1300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Darius Bunyad, DC

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1528290392
  NPD (past) Authorized official

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

{
    "created_epoch": "1322870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322870400000",
    "number": "1013285147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044426",
            "telephone_number": "707-522-1300",
            "fax_number": "707-522-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044426",
            "telephone_number": "707-522-1300",
            "fax_number": "707-522-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BUNYAD CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-03",
        "last_updated": "2011-12-03",
        "status": "A",
        "authorized_official_last_name": "BUNYAD",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-522-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC31246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2011; 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.