Bandalo Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC32149 Issued in CA

Legal business name

BANDALO CHIROPRACTIC INC

Practice address

1428 Phillips LN
Suite 300
San Luis Obispo, CA 93401-2537

Phone

(805) 843-8688

Fax

(805) 543-8732

NPI assigned

May 9, 2012

Last updated

May 9, 2012By 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. Miro Bandalo, D.C.NPI 1003185810

Title

President

Phone

(404) 683-4007

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Miro Bandalo, D.C.

  • Chiropractor
  • Nolensville, TN
  • NPI 1003185810
  NPD (past) Authorized official

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1255690368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 PHILLIPS LN",
            "address_2": "SUITE 300",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012537",
            "telephone_number": "805-843-8688",
            "fax_number": "805-543-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 PHILLIPS LN",
            "address_2": "SUITE 300",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012537",
            "telephone_number": "805-843-8688",
            "fax_number": "805-543-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDALO CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "BANDALO",
        "authorized_official_first_name": "MIRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-683-4007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randal Gail Ball, EDD
• Robert Vincent Ball
• Douglas Wayne Ballagh, L.C.S.W.
• Kevin Ballard
• David Abraham Baltazar, DO
• Armin J Bandari, MD, FACC
• Robin Ann Banks, MSW
• Jessica Bany, M.S., M.F.T.I.
• Angela Marie Barakat
• Manuel Barba

• Chiropractor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.