NPIMap

Organization Active NPI

A Healthy Community

  • Chiropractor
  • Rohnert Park, CA
National Provider Identifier
1104376029
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30249 Issued in CA
Legal business name
A HEALTHY COMMUNITY
Practice address
6050 Commerce Blvd
Suite 104
Rohnert Park, CA 94928-2101
Phone
(707) 588-9640
Fax
(707) 588-9675
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Dr. Colleen E McCoy, DCNPI 1356543789
Title
Sole Proprietor
Phone
(707) 588-9640

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 DC-30249 CA Primary

Addresses

Primary practice location

6050 Commerce Blvd
Suite 104
Rohnert Park, CA 94928-2101

Mailing address

6050 Commerce Blvd
Suite 104
Rohnert Park, CA 94928-2101
Phone (707) 588-9640

Other names 1

  • Colleen McCoy DC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1104376029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 COMMERCE BLVD",
            "address_2": "SUITE 104",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282101",
            "telephone_number": "707-588-9640",
            "fax_number": "707-588-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 COMMERCE BLVD",
            "address_2": "SUITE 104",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282101",
            "telephone_number": "707-588-9640",
            "fax_number": "707-588-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HEALTHY COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "707-588-9640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colleen McCoy DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.