Organization Active NPI

Family Chiropractic Wellness Center Inc

  • Chiropractor
  • Stockton, CA
National Provider Identifier
1033506639
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0254110 Issued in CA
Legal business name
FAMILY CHIROPRACTIC WELLNESS CENTER INC
Practice address
1151 W Robinhood Dr
Ste C9
Stockton, CA 95207-5625
Phone
(209) 957-4000
Fax
(209) 227-7944
NPI assigned
Apr 21, 2015
Last updated
Apr 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Dr. Rick Bonar, DC
Title
Owner
Phone
(209) 957-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0254110 CA Primary

Addresses

Primary practice location

1151 W Robinhood Dr
Ste C9
Stockton, CA 95207-5625

Mailing address

1151 W Robinhood Dr
Ste C9
Stockton, CA 95207-5625
Phone (209) 957-4000

National Provider Directory

National Provider Directory

Locations

1151 W Robinhood Dr
Ste C9
Stockton, CA 95207
Phone (209) 957-4000

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.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1033506639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 W ROBINHOOD DR",
            "address_2": "STE C9",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075625",
            "telephone_number": "209-957-4000",
            "fax_number": "209-227-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 W ROBINHOOD DR",
            "address_2": "STE C9",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075625",
            "telephone_number": "209-957-4000",
            "fax_number": "209-227-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "BONAR",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-957-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0254110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.