Organization Active NPI

Takahashi Sports Chiropractic, Inc

  • Chiropractor
  • Tracy, CA
National Provider Identifier
1043731524
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33428 Issued in CA
Legal business name
TAKAHASHI SPORTS CHIROPRACTIC, INC
Practice address
2180 W Grant Line Rd # 201
Tracy, CA 95377-7309
Phone
(209) 666-8099
Fax
(209) 666-8099
NPI assigned
Jul 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Norie Takahashi, DC
Title
Owner
Phone
(209) 666-8099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 33428 CA Primary

Addresses

Primary practice location

2180 W Grant Line Rd # 201
Tracy, CA 95377-7309

Mailing address

2180 W Grant Line Rd # 201
Tracy, CA 95377-7309
Phone (209) 666-8099

National Provider Directory

National Provider Directory

Locations

2180 W Grant Line Rd
Ste 201
Tracy, CA 95377
Phone (209) 666-8099

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043731524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 W GRANT LINE RD # 201",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777309",
            "telephone_number": "209-666-8099",
            "fax_number": "209-666-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 W GRANT LINE RD # 201",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777309",
            "telephone_number": "209-666-8099",
            "fax_number": "209-666-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKAHASHI SPORTS CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TAKAHASHI",
        "authorized_official_first_name": "NORIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-666-8099",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.