Mutch Iacini Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33204 Issued in CA

Legal business name

MUTCH IACINI CHIROPRACTIC INC

Practice address

440 S E St
Santa Rosa, CA 95404-5136

Phone

(707) 525-9950

NPI assigned

Nov 5, 2015

Last updated

Nov 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Mutch, D.C.

Title

Owner

Phone

(707) 525-9950

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Camila Loke

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1144064718
  NPD
• Jeffrey Michael Pierce, MD

  • Family Medicine Physician
  • Santa Rosa, CA
  • NPI 1780746107
  NPD
• Lana M Surgenor, D.C.

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1083649412
  NPD (past)

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1144693623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S E ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045136",
            "telephone_number": "707-525-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S E ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045136",
            "telephone_number": "707-525-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUTCH IACINI CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "MUTCH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-525-9950",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33204",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Musetti
• Lauren Muso
• Teri Musser, SUDRC 12678
• Michael David Mustafa
• Anthony J. Mustaro, D.C.
• MV Transportation
• Margaret Mwiti, RPH
• My Home Inc
• Andy Myers, PH.D.
• Janice Anne Myers

• Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.