Dr Phil's Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-30544 Issued in CA

Legal business name

DR PHIL'S CHIROPRACTIC

Practice address

1428 N Waterman Ave
Suite D
San Bernardino, CA 92404-5382

Phone

(909) 383-4201

Fax

(909) 383-4281

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Philip Glukhovsky, D.C.

Title

Owner

Phone

(909) 383-4201

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1083866917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 N WATERMAN AVE",
            "address_2": "SUITE D",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045382",
            "telephone_number": "909-383-4201",
            "fax_number": "909-383-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 N WATERMAN AVE",
            "address_2": "SUITE D",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045382",
            "telephone_number": "909-383-4201",
            "fax_number": "909-383-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PHIL'S CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "GLUKHOVSKY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-383-4201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.