Organization Active NPI

Sunrise Chiropractic

  • Chiropractor
  • Modesto, CA
National Provider Identifier
1164622304
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUNRISE CHIROPRACTIC
Practice address
1600 Sunrise Ave Ste 12
A
Modesto, CA 95350-4679
Phone
(209) 604-8422
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
Nathan Benenati, D.C.NPI 1285662593
Title
Chiropractor
Phone
(209) 604-8422

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1600 Sunrise Ave Ste 12
A
Modesto, CA 95350-4679

Mailing address

1600 Sunrise Ave Ste 12
A
Modesto, CA 95350-4679
Phone (209) 604-8422

National Provider Directory

National Provider Directory

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1164622304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SUNRISE AVE STE 12",
            "address_2": "A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504679",
            "telephone_number": "209-604-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SUNRISE AVE STE 12",
            "address_2": "A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504679",
            "telephone_number": "209-604-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "BENENATI",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "209-604-8422",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.