Carmelo Dichosa Bantique Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29892 Issued in CA

Practice address

3301 Watt Ave
Suite 400
Sacramento, CA 95821-3621

Phone

(916) 483-3423

Fax

(916) 483-8555

NPI assigned

Jul 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1104859552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WATT AVE",
            "address_2": "SUITE 400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958213621",
            "telephone_number": "916-483-3423",
            "fax_number": "916-483-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WATT AVE",
            "address_2": "SUITE 400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958213621",
            "telephone_number": "916-483-3423",
            "fax_number": "916-483-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTIQUE",
        "first_name": "CARMELO",
        "middle_name": "DICHOSA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riya Bansal
• Winston Bansale, CRNA
• Chelsea Bansuelo
• Giwania Wrenola Banta, LVN
• Bantique Chiropractic, a Professional Corporation
• Melvin Bantum Jr.
• Andrew Cordero Banuelos, RN
• Jasmine Banuelos
• Miriam Banuelos
• Rebecca Banuelos, RN

• Chiropractor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.