Neeley Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC22098 Issued in CA

Legal business name

NEELEY CHIROPRACTIC, INC.

Practice address

12925 El Camino Real
Suite J24
San Diego, CA 92130-1893

Phone

(858) 755-0808

Fax

(858) 755-7290

NPI assigned

Oct 25, 2006

Organization subpart

Yes

Parent organization

NEELEY CHIROPRACTIC, INC.As reported in NPPES

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

Authorized official

Name

Ms. Korby J Miller

Title

Billing Director

Phone

(702) 475-8050

Specialties & licenses 2

Addresses

Other identifiers 2

Part of

Neeley Chiropractic Inc

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1073698759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12925 EL CAMINO REAL",
            "address_2": "SUITE J24",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301893",
            "telephone_number": "858-755-0808",
            "fax_number": "858-755-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12925 EL CAMINO REAL",
            "address_2": "SUITE J24",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301893",
            "telephone_number": "858-755-0808",
            "fax_number": "858-755-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEELEY CHIROPRACTIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEELEY CHIROPRACTIC, INC.",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KORBY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "702-475-8050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD  CHIROGROUP #",
            "identifier": "ZZZ66071Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PT GROUP #",
            "identifier": "ZZZ66072Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dakota Matthew Sommers Neel, SF IDC STUDENT
• Ian Curtis Neel, M.D.
• Nicholas Cruce Neel, MD
• Neelakantan Ramineni MD, Inc.
• Robert Gene Neeld, RN
• Janelle Alexandra Neeley
• Tristan Neels
• Elizabeth Jo Neely, MA
• Ernestine Neely
• Larry Odell Neely, IDC

• 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 Sep 22, 2010; 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.