Organization Active NPI

Hyslop Chiropractic Inc.

  • Chiropractor
  • San Rafael, CA
National Provider Identifier
1093733974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30007 Issued in CA
Legal business name
HYSLOP CHIROPRACTIC INC.
Practice address
806 4TH St
San Rafael, CA 94901-3224
Phone
(415) 456-3232
Fax
(415) 456-3393
NPI assigned
Jul 18, 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
Dr. Jonathan Hyslop, D.C.NPI 1194789560
Title
President
Phone
(415) 456-3232

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC30007 CA Primary

Addresses

Primary practice location

806 4TH St
San Rafael, CA 94901-3224

Mailing address

806 4TH St
San Rafael, CA 94901-3224
Phone (415) 456-3232

National Provider Directory

National Provider Directory

Locations

806 4th St
San Rafael, CA 94901
Phone (415) 456-3232

Practitioners & affiliated clinicians

Practitioners 2

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093733974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013224",
            "telephone_number": "415-456-3232",
            "fax_number": "415-456-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013224",
            "telephone_number": "415-456-3232",
            "fax_number": "415-456-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYSLOP CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HYSLOP",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-456-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, 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.