Organization Active NPI

Patrick Chiropractic Corp

Doing business as Discover Chiropractic

  • Durable Medical Equipment & Medical Supplies
  • Encinitas, CA
National Provider Identifier
1063793362
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PATRICK CHIROPRACTIC CORP
Doing business as
Discover Chiropractic
Practice address
205 S El Camino Real
Suite G
Encinitas, CA 92024-4141
Phone
(760) 942-7441
Fax
(760) 942-7441
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Dr. Chad Mitchell Patrick, D.C.NPI 1841234994
Title
President
Phone
(760) 942-7441

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

205 S El Camino Real
Suite G
Encinitas, CA 92024-4141

Mailing address

205 S El Camino Real
Suite G
Encinitas, CA 92024-4141
Phone (760) 942-7441

Other identifiers 2

IdentifierTypeStateIssuer
6581680001OtherCAPTAN
DC30164OtherCACALIFORNIA

Other names 1

  • Discover Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

205 S El Camino Real
Ste G
Encinitas, CA 92024
Phone (760) 753-0758

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1063793362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S EL CAMINO REAL",
            "address_2": "SUITE G",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244141",
            "telephone_number": "760-942-7441",
            "fax_number": "760-942-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S EL CAMINO REAL",
            "address_2": "SUITE G",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244141",
            "telephone_number": "760-942-7441",
            "fax_number": "760-942-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-942-7441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6581680001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA",
            "identifier": "DC30164",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discover Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.