Robert Dana Ensley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12399 Issued in CA

Practice address

1313 Travis Blvd
Suite B
Fairfield, CA 94533-4621

Phone

(707) 426-3655

Fax

(707) 426-3656

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mann Wellness, Inc

  • Clinic/Center
  • Fairfield, CA
  • NPI 1427639467
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346300282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 TRAVIS BLVD",
            "address_2": "SUITE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334621",
            "telephone_number": "707-426-3655",
            "fax_number": "707-426-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 TRAVIS BLVD",
            "address_2": "SUITE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334621",
            "telephone_number": "707-426-3655",
            "fax_number": "707-426-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSLEY",
        "first_name": "ROBERT",
        "middle_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "12399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "12399",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• O'Ina Enciso-English, BEHAVIORAL THERAPIST
• Marta Engleman, RADT-T
• Katrina Anne Engstrom, FNP-C
• Kyla Mae Enriquez
• Ensley Chiropractic Inc.
• Environ Transportation LLC
• Tracy Lynn Epps
• Liza Escalante
• Kathleen Marie Esch, MA, BCBA
• Adria Escobedo

• Chiropractor in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.