NPIMap

Organization Active NPI

Mink Chiropractic Inc

  • Chiropractor
  • San Mateo, CA
National Provider Identifier
1104363308
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29900 Issued in CA
Legal business name
MINK CHIROPRACTIC INC
Practice address
601 S B St
Suite B
San Mateo, CA 94401-4120
Phone
(650) 421-7723
NPI assigned
Jan 25, 2017
Last updated
Jan 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Julie MinkNPI 1164503447
Title
Owner
Phone
(650) 425-7723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 29900 CA Primary

Addresses

Primary practice location

601 S B St
Suite B
San Mateo, CA 94401-4120

Mailing address

601 S B St
Suite B
San Mateo, CA 94401-4120

National Provider Directory

National Provider Directory

Locations

601 S B St
#B
San Mateo, CA 94401
Phone (213) 413-2280

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1104363308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S B ST",
            "address_2": "SUITE B",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S B ST",
            "address_2": "SUITE B",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014120",
            "telephone_number": "650-421-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINK CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "MINK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-425-7723"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.