17TH Street Oliveira Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32406 Issued in CA

Legal business name

17TH STREET OLIVEIRA CHIROPRACTIC PC

Doing business as

17th Street Chiropractic

Practice address

3705 17TH St
San Francisco, CA 94114-2021

Phone

(504) 453-6244

Fax

(415) 863-2225

NPI assigned

Feb 11, 2013

Last updated

Feb 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rodrigo Tavora Oliveira, DCNPI 1013174911

Title

Ceo

Phone

(504) 453-6244

Specialties & licenses 1

Addresses

Other names 1

• 17th Street Chiropractic Doing business as

Locations

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.

• Rodrigo Tavora Oliveira, DC

  • Chiropractor
  • San Francisco, CA
  • NPI 1013174911
  NPD Authorized official
• Brian F Lyttle, D.C.

  • Chiropractor
  • San Francisco, CA
  • NPI 1336212919
  NPD (past)

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1235478249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 17TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142021",
            "telephone_number": "504-453-6244",
            "fax_number": "415-863-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 17TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142021",
            "telephone_number": "504-453-6244",
            "fax_number": "415-863-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "17TH STREET OLIVEIRA CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_middle_name": "TAVORA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-453-6244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "17th Street Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 3Rd Street Youth Center & Clinic

• Chiropractor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.