Cannon & Rutkoski Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC30402 Issued in CA

Legal business name

CANNON & RUTKOSKI CHIROPRACTIC

Practice address

3503 4TH Ave
San Diego, CA 92103-4912

Phone

(619) 501-7873

NPI assigned

Dec 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Bernard A Cannon, D.C.

Title

Chiropractor/Owner

Phone

(619) 501-7873

Specialties & licenses 1

Addresses

Other names 1

• Pure Life Wellness 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.

• Sean H Kim, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1922311489
  NPD (past)
• Alissa A Rutkoski, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1518296227
  NPD (past)

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1265735146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034912",
            "telephone_number": "619-501-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034912",
            "telephone_number": "619-501-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON & RUTKOSKI CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "619-501-7873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Life Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Ray Cannavino, M.D.
• Kim Cannella, PT
• Mark C Cannis, MD
• Timothy L Cannis, M.D.
• Casey David Cannizzaro
• Cannon & Rutkoski Chiropractic, a Professional Corporation
• Aaron Lee Cannon, PH.D
• Anjelika Cannon
• Bernard A Cannon, DC
• Caitlin Mary Cannon

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.