Organization Active NPI

Bradford D Case DC a Chiropractic Corp

Doing business as Holistic Healing Center

  • Chiropractor
  • Prunedale, CA
National Provider Identifier
1063625762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
23220 Issued in CA
Legal business name
BRADFORD D CASE DC A CHIROPRACTIC CORP
Doing business as
Holistic Healing Center
Practice address
17811 Countryside CT
Prunedale, CA 93907
Phone
(831) 663-2284
Fax
(831) 663-2288
NPI assigned
May 8, 2007
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
Bradford D Case, DCNPI 1386831055
Title
Owner President
Phone
(831) 663-2284

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 23220 CA Primary

Addresses

Primary practice location

17811 Countryside CT
Prunedale, CA 93907

Mailing address

17811 Countryside CT
Prunedale, CA 93907
Phone (831) 663-2284

Other names 1

  • Holistic Healing Center Doing business as

National Provider Directory

National Provider Directory

Locations

17811 Countryside Ct
Prunedale, CA 93907
Phone (831) 663-2284

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063625762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17811 COUNTRYSIDE CT",
            "city": "PRUNEDALE",
            "state": "CA",
            "postal_code": "93907",
            "telephone_number": "831-663-2284",
            "fax_number": "831-663-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17811 COUNTRYSIDE CT",
            "city": "PRUNEDALE",
            "state": "CA",
            "postal_code": "93907",
            "telephone_number": "831-663-2284",
            "fax_number": "831-663-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD D CASE DC A CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "831-663-2284",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prunedale, 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.