Active NPI
Robert C Jolin DC a Chiropractic Corporation
- Chiropractor
- Lakeport, CA
National Provider Identifier
1154680395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC012720
- Legal business name
- ROBERT C JOLIN DC A CHIROPRACTIC CORPORATION
- Practice address
- 916 S Main St
Lakeport, CA 95453-5513 - Phone
- (707) 263-5183
- Fax
- (707) 263-7548
- NPI assigned
- May 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Charles Jolin, D, C.
- Title
- President
- Phone
- (707) 263-5183
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC012720 | CA | Primary |
Addresses
Primary practice location
916 S Main St
Lakeport, CA 95453-5513
Mailing address
916 S Main St
Lakeport, CA 95453-5513
Phone (707) 263-5183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
916 S Main St
Lakeport, CA 95453
Phone (707) 263-5183
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lakeport, CA
- NPI 1669696043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336435200000",
"number": "1154680395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 S MAIN ST",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954535513",
"telephone_number": "707-263-5183",
"fax_number": "707-263-7548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 S MAIN ST",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954535513",
"telephone_number": "707-263-5183",
"fax_number": "707-263-7548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT C JOLIN DC A CHIROPRACTIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-08",
"last_updated": "2012-05-08",
"status": "A",
"authorized_official_last_name": "JOLIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-263-5183",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D, C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC012720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.