Active NPI
Mitchell S Sill, D.C.
- Chiropractor
- Castro Valley, CA
National Provider Identifier
1144499559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC14499
- Practice address
- 22101 Redwood Rd
Castro Valley, CA 94546-7107 - Phone
- (510) 886-1788
- Fax
- (510) 886-1725
- NPI assigned
- Feb 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC14499 | CA | Primary |
Addresses
Primary practice location
22101 Redwood Rd
Castro Valley, CA 94546-7107
Mailing address
22101 Redwood Rd
Castro Valley, CA 94546-7107
Phone (510) 886-1788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC14499 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1144499559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22101 REDWOOD RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945467107",
"telephone_number": "510-886-1788",
"fax_number": "510-886-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22101 REDWOOD RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945467107",
"telephone_number": "510-886-1788",
"fax_number": "510-886-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILL",
"first_name": "MITCHELL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-29",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC14499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.