Spinal & Sports Care Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

22694 Issued in CA

Legal business name

SPINAL & SPORTS CARE CENTER

Practice address

2290 W El Camino Real
Suite 4
Mountain View, CA 94040-1631

Phone

(650) 967-1152

Fax

(650) 967-5328

NPI assigned

Mar 14, 2008

Last updated

Mar 14, 2008By 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. Brent Andrew Haley, D.C.NPI 1093844565

Title

Doctor/Owner

Phone

(650) 967-1152

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.

• Brent Andrew Haley, D.C.

  • Chiropractor
  • Mountain View, CA
  • NPI 1093844565
  Authorized official Same address or phone

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1275704488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W EL CAMINO REAL",
            "address_2": "SUITE 4",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401631",
            "telephone_number": "650-967-1152",
            "fax_number": "650-967-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 W EL CAMINO REAL",
            "address_2": "SUITE 4",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401631",
            "telephone_number": "650-967-1152",
            "fax_number": "650-967-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL & SPORTS CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "650-967-1152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michi Spady, MD
• Mara Spare, MD
• Sedona Speedy, MD
• Veronica Speikes, LMSW
• Aneka Spencer
• Spinal and Sports Care Center
• Jonathan D. Squire, MD
• Preethi Chakravarthy Sridhar, MD
• Shruti Srinivasan
• Juliet Michael St Germain, PT

• Chiropractor in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.