Organization Active NPI

Resolution Pain Relief

  • Chiropractor
  • Mill Valley, CA
National Provider Identifier
1174874929
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
22400 Issued in CA
Legal business name
RESOLUTION PAIN RELIEF
Practice address
591 Redwood Hwy
Ste 2300
Mill Valley, CA 94941-6001
Phone
(415) 389-9000
Fax
(415) 389-7912
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Jesper LundbaekNPI 1790881670
Title
President
Phone
(415) 389-9000

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 22400 CA Primary

Addresses

Primary practice location

591 Redwood Hwy
Ste 2300
Mill Valley, CA 94941-6001

Mailing address

591 Redwood Hwy
Ste 2300
Mill Valley, CA 94941-6001
Phone (415) 389-9000

National Provider Directory

National Provider Directory

Locations

591 Redwood Hwy Frontage Rd
Ste 2300
Mill Valley, CA 94941
Phone (415) 380-1840

Practitioners & affiliated clinicians

Practitioners 2

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": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1174874929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HWY",
            "address_2": "STE 2300",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949416001",
            "telephone_number": "415-389-9000",
            "fax_number": "415-389-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HWY",
            "address_2": "STE 2300",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949416001",
            "telephone_number": "415-389-9000",
            "fax_number": "415-389-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTION PAIN RELIEF",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "LUNDBAEK",
        "authorized_official_first_name": "JESPER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-389-9000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.