NPIMap

Individual provider Active NPI

Bradley Alvin Dodenhoff, DC

  • Chiropractor
  • Bakersfield, CA
National Provider Identifier
1285708180
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16343 Issued in CA
Practice address
2001 19TH St
Bakersfield, CA 93301-4211
Phone
(661) 633-2386
Fax
(661) 633-2846
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16343 CA Primary

Addresses

Primary practice location

2001 19TH St
Bakersfield, CA 93301-4211

Mailing address

2001 19TH St
Bakersfield, CA 93301-4211
Phone (661) 633-2386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Psychological Group Inc. Past Accepting new patients
Bakersfield Sports Injury & Wellness Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1285708180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 19TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014211",
            "telephone_number": "661-633-2386",
            "fax_number": "661-633-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 19TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014211",
            "telephone_number": "661-633-2386",
            "fax_number": "661-633-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODENHOFF",
        "first_name": "BRADLEY",
        "middle_name": "ALVIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • 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.