Organization Active NPI

American Specialty Health Group of South Dakota

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1235496423
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AMERICAN SPECIALTY HEALTH GROUP OF SOUTH DAKOTA
Practice address
10221 Wateridge Circle
San Diego, CA 92121
Phone
(800) 848-3555
Fax
(877) 414-2746
NPI assigned
Apr 12, 2012
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Mr. R. Douglas Metz, D.C.
Title
Chief Health Services Officer
Phone
(800) 848-3555

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

10221 Wateridge Circle
San Diego, CA 92121

Mailing address

10221 Wateridge Circle
San Diego, CA 92121
Phone (800) 848-3555

Other names 1

  • American Speciality Health Networks of South Dakota, Inc. dba ASH Netw Former legal business name

National Provider Directory

National Provider Directory

Locations

10221 Wateridge Cir
San Diego, CA 92121
Phone (619) 578-2000

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1235496423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 WATERIDGE CIRCLE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "800-848-3555",
            "fax_number": "877-414-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 WATERIDGE CIRCLE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "800-848-3555",
            "fax_number": "877-414-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SPECIALTY HEALTH GROUP OF SOUTH DAKOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "METZ",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIEF HEALTH SERVICES OFFICER",
        "authorized_official_telephone_number": "800-848-3555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Speciality Health Networks of South Dakota, Inc. dba ASH Netw",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "American Speciality Health Networks of South Dakota, Inc. dba ASH Netw",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.