Pierce Wellness Revolution Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

20758 Issued in CA

Legal business name

PIERCE WELLNESS REVOLUTION CHIROPRACTIC INC.

Practice address

545 Saratoga Ave
D
Santa Clara, CA 95050-5672

Phone

(408) 296-6133

Fax

(408) 260-0657

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Michael C Pierce, DCNPI 1013035997

Title

Owner

Phone

(408) 296-6133

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Michael C Pierce, DC

  • Chiropractor
  • Santa Clara, CA
  • NPI 1013035997
  NPD (past) Authorized official

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1043764673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SARATOGA AVE",
            "address_2": "D",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505672",
            "telephone_number": "408-296-6133",
            "fax_number": "408-260-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SARATOGA AVE",
            "address_2": "D",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505672",
            "telephone_number": "408-296-6133",
            "fax_number": "408-260-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE WELLNESS REVOLUTION CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-296-6133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P TAN",
            "identifier": "DC0207480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Phan, PHARMD
• Vy Phan
• Anastasios Sotirios Photopoulos, D.D.S.
• Kimberly Louise Picchi
• Colette Piccioni
• Erick Michael Pierce, RN, NP, CRNA
• Michael C Pierce, DC
• Elizabeth Pincus, APRN, ACNS-BC, RN
• Pinnacle HR Solutions, Inc.
• Pinnacle Medical Equipment LLC

• Chiropractor in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.