Active NPI
Delu Chiropractic
- Chiropractor
- Lodi, CA
National Provider Identifier
1023408036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC19755
- Legal business name
- DELU CHIROPRACTIC
- Practice address
- 1420 W Kettleman LN
B2
Lodi, CA 95242-4557 - Phone
- (209) 333-8690
- Fax
- (209) 333-8692
- NPI assigned
- Jan 28, 2015
- Last updated
- Jan 28, 2015
- 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. Kenneth Alex Delu, D.C.
- Title
- Doctor/Owner
- Phone
- (209) 333-8690
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 | DC19755 | CA | Primary |
Addresses
Primary practice location
1420 W Kettleman LN
B2
Lodi, CA 95242-4557
Mailing address
1420 W Kettleman LN
B2
Lodi, CA 95242-4557
Phone (209) 333-8690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0197550 | Other | CA | PTAN |
National Provider Directory
National Provider DirectoryLocations
1420 W Kettleman Ln
Ste B2
Lodi, CA 95242
Phone (209) 333-8690
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Lodi, CA
- NPI 1659360907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422403200000",
"number": "1023408036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 W KETTLEMAN LN",
"address_2": "B2",
"city": "LODI",
"state": "CA",
"postal_code": "952424557",
"telephone_number": "209-333-8690",
"fax_number": "209-333-8692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 W KETTLEMAN LN",
"address_2": "B2",
"city": "LODI",
"state": "CA",
"postal_code": "952424557",
"telephone_number": "209-333-8690",
"fax_number": "209-333-8692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELU CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-28",
"last_updated": "2015-01-28",
"status": "A",
"authorized_official_last_name": "DELU",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "ALEX",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "209-333-8690",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC19755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "DC0197550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
- Delta Radiology Medical Group, Inc.
- Delta Radiology, Inc.
- Delta Radiology, Inc.
- Delta Radiology, Inc.
- Delta Skilled Nursing Center, Inc. (Delta Rehabilitation & Care Center)
- Kenneth Alexander Delu, D.C.
- Stanley Lawrence Demski III, DDS
- Josie Christine Denton
- Narinder Singh Dhaliwal, M.D.
- Inderpreet Singh Dhillon, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.