Organization Active NPI

Egan Family Chiropractic Inc.

  • Exclusive Provider Organization
  • San Rafael, CA
National Provider Identifier
1255865085
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
31550 Issued in CA
Legal business name
EGAN FAMILY CHIROPRACTIC INC.
Practice address
45 Mitchell Blvd Ste 9
San Rafael, CA 94903-2011
Phone
(415) 785-7131
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Matthew Nichoals Egan, D.C.NPI 1467739060
Title
Owner
Phone
(415) 785-7131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 31550 CA Primary

Addresses

Primary practice location

45 Mitchell Blvd Ste 9
San Rafael, CA 94903-2011

Mailing address

45 Mitchell Blvd Ste 9
San Rafael, CA 94903-2011
Phone (415) 785-7131

National Provider Directory

National Provider Directory

Locations

45 Mitchell Blvd
Ste 9
San Rafael, CA 94903
Phone (415) 492-2225

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1255865085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MITCHELL BLVD STE 9",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032011",
            "telephone_number": "415-785-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MITCHELL BLVD STE 9",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032011",
            "telephone_number": "415-785-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGAN FAMILY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "NICHOALS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-785-7131",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "31550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.