Dvorsky Chiropractic Inc

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

19438 Issued in CA

Legal business name

DVORSKY CHIROPRACTIC INC

Practice address

2701 Ocean Park Blvd
#118
Santa Monica, CA 90405-5200

Phone

(310) 399-1885

Fax

(310) 399-1505

NPI assigned

Sep 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jay W Dvorsky, D.C.

Title

Ceo

Phone

(310) 399-1885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1265765408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 OCEAN PARK BLVD",
            "address_2": "#118",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055200",
            "telephone_number": "310-399-1885",
            "fax_number": "310-399-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 OCEAN PARK BLVD",
            "address_2": "#118",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055200",
            "telephone_number": "310-399-1885",
            "fax_number": "310-399-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVORSKY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "DVORSKY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-399-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "19438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Chiropractor in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Nutrition Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.