Organization Active NPI

Carl F Dieter a Professional Chiropractic Corp

Doing business as dba ALMADEN CHIROPRACTIC CENTER

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1174623250
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CARL F DIETER A PROFESSIONAL CHIROPRACTIC CORP
Doing business as
dba ALMADEN CHIROPRACTIC CENTER
Practice address
5570 Sanchez Drive Suite 100
San Jose, CA 95123
Phone
(408) 262-7111
Fax
(408) 266-4872
NPI assigned
Sep 25, 2006
Last updated
Dec 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Dr. Carl F Dieter, DCNPI 1073580882
Title
Owner/Chiropractor
Phone
(408) 262-7111

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

5570 Sanchez Drive Suite 100
San Jose, CA 95123

Mailing address

5570 Sanchez Drive Suite 100
San Jose, CA 95123
Phone (408) 262-7111

Other names 1

  • dba ALMADEN CHIROPRACTIC CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110518000050 CA Part B Supplier - Clinic/Group Practice 5991981474 Receives reassigned benefits from 5 practitioners
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

5570 Sanchez Dr
Ste 100
San Jose, CA 95123
Phone (408) 262-7111

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1174623250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 SANCHEZ DRIVE SUITE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95123",
            "telephone_number": "408-262-7111",
            "fax_number": "408-266-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 SANCHEZ DRIVE SUITE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95123",
            "telephone_number": "408-262-7111",
            "fax_number": "408-266-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL F DIETER A PROFESSIONAL CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "DIETER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "408-262-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba ALMADEN CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.

Verify at the official NPI Registry.