Active NPI
Wayne D Coleman, D.C.
- Chiropractor
- Pleasanton, CA
National Provider Identifier
1154417558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC18765
- Practice address
- 5510 Sunol Blvd.
Suite 5
Pleasanton, CA 94566-8856 - Phone
- (925) 846-2878
- Fax
- (925) 846-2879
- NPI assigned
- Oct 4, 2006
- 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 | DC18765 | CA | Primary |
Addresses
Primary practice location
5510 Sunol Blvd.
Suite 5
Pleasanton, CA 94566-8856
Mailing address
5510 Sunol Blvd.
Suite 5
Pleasanton, CA 94566-8856
Phone (925) 846-2878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC018765 | Other | CA | BLUE SHIELD PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120416000045 | CA | Practitioner - Chiropractic | 7517128770 | Practice locations: Pleasanton, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5510 Sunol Blvd
Suite 5
Pleasanton, CA 94566-8856
Phone (925) 846-2878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC18765 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1154417558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 SUNOL BLVD.",
"address_2": "SUITE 5",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945668856",
"telephone_number": "925-846-2878",
"fax_number": "925-846-2879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 SUNOL BLVD.",
"address_2": "SUITE 5",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945668856",
"telephone_number": "925-846-2878",
"fax_number": "925-846-2879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "WAYNE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC18765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER",
"identifier": "DC018765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.