NPIMap

Organization Active NPI

Sidhu Chiropractic

  • Chiropractor
  • San Bernardino, CA
National Provider Identifier
1174967327
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
28286 Issued in CA
Legal business name
SIDHU CHIROPRACTIC
Practice address
165 W Hospitality LN
#20
San Bernardino, CA 92408-3334
Phone
(909) 890-0079
Fax
(909) 890-0979
NPI assigned
Apr 18, 2013
Last updated
Apr 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Dr. Pitpal Singh Sidhu, D.C
Title
Owner
Phone
(909) 890-0179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 28286 CA Primary

Addresses

Primary practice location

165 W Hospitality LN
#20
San Bernardino, CA 92408-3334

Mailing address

165 W Hospitality LN
#20
San Bernardino, CA 92408-3334
Phone (909) 890-0079

National Provider Directory

National Provider Directory

Locations

165 W Hospitality Ln
Ste 20
San Bernardino, CA 92408
Phone (909) 890-0079

Practitioners & affiliated clinicians

Practitioners 2

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": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1174967327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W HOSPITALITY LN",
            "address_2": "#20",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083334",
            "telephone_number": "909-890-0079",
            "fax_number": "909-890-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W HOSPITALITY LN",
            "address_2": "#20",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083334",
            "telephone_number": "909-890-0079",
            "fax_number": "909-890-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDHU CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "PITPAL",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-890-0179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.