Niccole Marie Odell

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32183 Issued in CA

Practice address

9988 Hibert St Ste 206
San Diego, CA 92131-2480

Phone

(858) 736-5387

Fax

(858) 635-9104

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1073680633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9988 HIBERT ST STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312480",
            "telephone_number": "858-736-5387",
            "fax_number": "858-935-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9988 HIBERT ST STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312480",
            "telephone_number": "858-736-5387",
            "fax_number": "858-635-9104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8760 Cuyamaca St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "920714257",
            "country_code": "US",
            "telephone_number": "619-258-1011",
            "fax_number": "619-258-1023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODELL",
        "first_name": "NICCOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Annette Odde, LR02451016
• Devan Oddman, PA-C
• Susan Oddou
• Louis Odeesho, PHARMD
• Emily Odegard
• Sarah Mackenzie Odell
• Marcella Raquel Oden, PT, DPT, DACM, L.AC.
• Justin Oderkirk
• Lyssa Wallace Odette, OD
• Ashika Odhav, MD

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.