Organization Active NPI

Cusack Chiropractic

  • Chiropractor
  • Walnut Creek, CA
National Provider Identifier
1023369568
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC12150 Issued in CA
Legal business name
CUSACK CHIROPRACTIC
Practice address
2801 Ygnacio Valley Rd
Ste. B
Walnut Creek, CA 94598-3587
Phone
(925) 945-0555
Fax
(925) 945-1873
NPI assigned
Sep 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Ms. Liz A Lacey
Title
Office Manager
Phone
(925) 945-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC12150 CA Primary

Addresses

Primary practice location

2801 Ygnacio Valley Rd
Ste. B
Walnut Creek, CA 94598-3587

Mailing address

2801 Ygnacio Valley Rd
Ste. B
Walnut Creek, CA 94598-3587
Phone (925) 945-0555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1023369568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 YGNACIO VALLEY RD",
            "address_2": "STE. B",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983587",
            "telephone_number": "925-945-0555",
            "fax_number": "925-945-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YGNACIO VALLEY RD",
            "address_2": "STE. B",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983587",
            "telephone_number": "925-945-0555",
            "fax_number": "925-945-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSACK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "LACEY",
        "authorized_official_first_name": "LIZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-945-0555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC12150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.