Organization Active NPI

Belmont Advanced Chiropractic

  • Chiropractor
  • Belmont, CA
National Provider Identifier
1154590925
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27908 Issued in CA
Legal business name
BELMONT ADVANCED CHIROPRACTIC
Practice address
1601 El Camino Real Ste 301
Belmont, CA 94002-3943
Phone
(650) 596-5657
Fax
(650) 596-5697
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Michael A Dornbusch, D.C.
Title
Chiropractor/Owner
Phone
(650) 596-5657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27908 CA Primary

Addresses

Primary practice location

1601 El Camino Real Ste 301
Belmont, CA 94002-3943

Mailing address

1601 El Camino Real Ste 301
Belmont, CA 94002-3943
Phone (650) 596-5657

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1154590925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 EL CAMINO REAL STE 301",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023943",
            "telephone_number": "650-596-5657",
            "fax_number": "650-596-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 EL CAMINO REAL STE 301",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023943",
            "telephone_number": "650-596-5657",
            "fax_number": "650-596-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT ADVANCED CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "DORNBUSCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "650-596-5657",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.