Organization Active NPI

Tyrone & Dayna Isquirdo Chiropractic Corporation

  • Chiropractor
  • Campbell, CA
National Provider Identifier
1114687779
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TYRONE & DAYNA ISQUIRDO CHIROPRACTIC CORPORATION
Practice address
1930 S Bascom Ave
Campbell, CA 95008-2364
Phone
(408) 340-5055
NPI assigned
Dec 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Authorized official

Name
Tyrone Isquirdo, DCNPI 1902946098
Title
Owner
Phone
(408) 340-5055

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 Primary

Addresses

Primary practice location

1930 S Bascom Ave
Campbell, CA 95008-2364

Mailing address

1930 S Bascom Ave
Campbell, CA 95008-2364
Phone (408) 340-5055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220215000271 CA Part B Supplier - Clinic/Group Practice 2567855570 Receives reassigned benefits from 1 practitioner
Practice locations: Campbell, CA

National Provider Directory

National Provider Directory

Locations

1930 S Bascom Ave
Campbell, CA 95008
Phone (408) 340-5055

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": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1114687779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S BASCOM AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082364",
            "telephone_number": "408-340-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BASCOM AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082364",
            "telephone_number": "408-340-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRONE & DAYNA ISQUIRDO CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "ISQUIRDO",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-340-5055",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.