Organization Active NPI

B Dietterle Chiropractic Inc

  • Chiropractor
  • Palm Springs, CA
National Provider Identifier
1053342790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28366 Issued in CA
Legal business name
B DIETTERLE CHIROPRACTIC INC
Practice address
1000 S Palm Canyon Dr Ste 105
Palm Springs, CA 92264-8301
Phone
(760) 320-0887
NPI assigned
Jul 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brandace Dietterle, DC
Title
Owner
Phone
(760) 320-0887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28366 CA Primary

Addresses

Primary practice location

1000 S Palm Canyon Dr Ste 105
Palm Springs, CA 92264-8301

Mailing address

1000 S Palm Canyon Dr Ste 105
Palm Springs, CA 92264-8301

National Provider Directory

National Provider Directory

Locations

1000 S Palm Canyon Dr
Ste 105
Palm Springs, CA 92264
Phone (760) 320-0887

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053342790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S PALM CANYON DR STE 105",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922648301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S PALM CANYON DR STE 105",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922648301",
            "telephone_number": "760-320-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B DIETTERLE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIETTERLE",
        "authorized_official_first_name": "BRANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-320-0887",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.