Organization Active NPI

Fiedler Chiropractic Inc

  • Chiropractor
  • Lower Lake, CA
National Provider Identifier
1083773642
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FIEDLER CHIROPRACTIC INC
Practice address
9667 Hwy 29
Ste 101
Lower Lake, CA 95457
Phone
(707) 994-6940
Fax
(707) 994-6941
NPI assigned
Dec 8, 2006
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
Mrs. Cynthia E Shore
Title
Ofc MGR
Phone
(707) 994-6940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9667 Hwy 29
Ste 101
Lower Lake, CA 95457

Mailing address

PO Box 298
Lower Lake, CA 95457
Phone (707) 994-6940

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083773642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "LOWER LAKE",
            "state": "CA",
            "postal_code": "95457",
            "telephone_number": "707-994-6940",
            "fax_number": "707-994-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9667 HWY 29",
            "address_2": "STE 101",
            "city": "LOWER LAKE",
            "state": "CA",
            "postal_code": "95457",
            "telephone_number": "707-994-6940",
            "fax_number": "707-994-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIEDLER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHORE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFC MGR",
        "authorized_official_telephone_number": "707-994-6940",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Lake, 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.