Organization Active NPI

Bantique Chiropractic, a Professional Corporation

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1144529223
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29892 Issued in CA
Legal business name
BANTIQUE CHIROPRACTIC, A PROFESSIONAL CORPORATION
Practice address
3301 Watt Ave
Suite 400
Sacramento, CA 95821-3621
Phone
(916) 483-3423
NPI assigned
Mar 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Dr. Carmelo Dichosa Bantique Jr., D.C.
Title
President
Phone
(916) 483-3423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC29892 CA Primary

Addresses

Primary practice location

3301 Watt Ave
Suite 400
Sacramento, CA 95821-3621

Mailing address

3301 Watt Ave
Suite 400
Sacramento, CA 95821-3621
Phone (916) 483-3423

National Provider Directory

National Provider Directory

Locations

3301 Watt Ave
Ste 400
Sacramento, CA 95821
Phone (916) 483-3423

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": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1144529223",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANTIQUE CHIROPRACTIC, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "BANTIQUE",
        "authorized_official_first_name": "CARMELO",
        "authorized_official_middle_name": "DICHOSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-483-3423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.