NPIMap

Organization Active NPI

Evoke Spinal Care

  • Chiropractor
  • Pleasant Hill, CA
National Provider Identifier
1114363413
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32227 Issued in CA
Legal business name
EVOKE SPINAL CARE
Practice address
391 Taylor Blvd
Ste 130
Pleasant Hill, CA 94523-2257
Phone
(925) 523-1022
NPI assigned
May 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Dr. Fredrick J Dietzen, DCNPI 1306282751
Title
Doctor
Phone
(925) 523-1022

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 32227 CA Primary

Addresses

Primary practice location

391 Taylor Blvd
Ste 130
Pleasant Hill, CA 94523-2257

Mailing address

391 Taylor Blvd
Ste 130
Pleasant Hill, CA 94523-2257

National Provider Directory

National Provider Directory

Locations

391 Taylor Blvd
Ste 130
Pleasant Hill, CA 94523
Phone (925) 523-1022

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": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1114363413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 TAYLOR BLVD",
            "address_2": "STE 130",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 TAYLOR BLVD",
            "address_2": "STE 130",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232257",
            "telephone_number": "925-523-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOKE SPINAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "DIETZEN",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "925-523-1022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.