NPIMap

Organization Active NPI

Freese Chiropractic Corporation

  • Chiropractor
  • Ceres, CA
National Provider Identifier
1306083860
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30582 Issued in CA
Legal business name
FREESE CHIROPRACTIC CORPORATION
Practice address
3007 Dale CT
Ceres, CA 95307-2913
Phone
(209) 537-4579
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. Kelly Marie Isaacson, D.C.
Title
President/Owner
Phone
(209) 537-4579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC30582 CA Primary

Addresses

Primary practice location

3007 Dale CT
Ceres, CA 95307-2913

Mailing address

3007 Dale CT
Ceres, CA 95307-2913
Phone (209) 537-4579

National Provider Directory

National Provider Directory

Locations

3007 Dale Ct
Ceres, CA 95307
Phone (209) 537-4579

1809 Central Ave
Ste C
Ceres, CA 95307
Phone (209) 537-4434

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": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1306083860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 DALE CT",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072913",
            "telephone_number": "209-537-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 DALE CT",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072913",
            "telephone_number": "209-537-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREESE CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "209-537-4579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.