David Lincoln Chiropractic PC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

DC26765 Issued in CA

Legal business name

DAVID LINCOLN CHIROPRACTIC PC

Practice address

1408 Townview LN
Santa Rosa, CA 95405-7538

Phone

(707) 526-2225

Fax

(707) 526-5267

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David E Lincoln, DC DACNB IDE CCEPNPI 1972554632

Title

Owner / Provider

Phone

(707) 526-2225

Specialties & licenses 1

Addresses

Other names 1

• Primary Spine & Injury Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David E Lincoln, DC.,DACNB, IDE, CCEP

  • Neurology Chiropractor
  • Santa Rosa, CA
  • NPI 1972554632
  Medicare reassignment Authorized official
• Angela McQuillen

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1356128268
  NPD
• Samuel B Rose, DC

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1558387522
  NPD (past)

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1194996652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 TOWNVIEW LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057538",
            "telephone_number": "707-526-2225",
            "fax_number": "707-526-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 TOWNVIEW LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057538",
            "telephone_number": "707-526-2225",
            "fax_number": "707-526-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LINCOLN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "707-526-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC DACNB IDE CCEP"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "DC26765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Spine & Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Lynn Dastic, CRNA
• Amber Rose Daughrity, LMFT
• Clay Breckinridge Daulton, L.AC.
• Charles Anthony Davenport
• Temalesi Caginivalu Daveta
• Frederick Charles David, M.D.
• Jefferson David
• Delaney Davidge
• Jenny J Davidson
• Jill Hutton Davidson, NP

• Neurology Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Neurology Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.