Organization Active NPI

Rise Bodyworksa Beall Chiropractic Corp

  • Chiropractor
  • Alameda, CA
National Provider Identifier
1124572003
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC031508 Issued in CA
Legal business name
RISE BODYWORKSA BEALL CHIROPRACTIC CORP
Practice address
930 Central Ave
Alameda, CA 94501-3406
Phone
(408) 984-2455
Fax
(408) 984-2456
NPI assigned
Aug 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Dr. Damon Charles Frach, P.H.D.
Title
Billing Manager
Phone
(408) 478-5092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC031508 CA Primary

Addresses

Primary practice location

930 Central Ave
Alameda, CA 94501-3406

Mailing address

930 Central Ave
Alameda, CA 94501-3406
Phone (408) 984-2455

National Provider Directory

National Provider Directory

Locations

930 Central Ave
Alameda, CA 94501
Phone (510) 205-9539

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1124572003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 CENTRAL AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013406",
            "telephone_number": "408-984-2455",
            "fax_number": "408-984-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CENTRAL AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013406",
            "telephone_number": "408-984-2455",
            "fax_number": "408-984-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE BODYWORKSA BEALL CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "FRACH",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "408-478-5092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.H.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC031508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.