Active NPI
Smallie Chiropractic Inc.
- Chiropractor
- Stockton, CA
National Provider Identifier
1356475206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC11659
- Legal business name
- SMALLIE CHIROPRACTIC INC.
- Practice address
- 2027 Grand Canal Blvd Ste 21
Stockton, CA 95207-6650 - Phone
- (209) 957-9601
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Don David Smallie, DC
- Title
- Owner Chiropractor
- Phone
- (209) 957-9601
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC11659 | CA | Primary |
Addresses
Primary practice location
2027 Grand Canal Blvd Ste 21
Stockton, CA 95207-6650
Mailing address
2027 Grand Canal Blvd Ste 21
Stockton, CA 95207-6650
Phone (209) 957-9601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ33842Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| GDC000630 | Other | CA | MEDI-CAL GROUP # |
National Provider Directory
National Provider Directory- Tax ID family
- Smallie Chiropractic Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Stockton, CA
- NPI 1972559466
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Stockton, CA
- NPI 1023057601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360022400000",
"number": "1356475206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2027 GRAND CANAL BLVD STE 21",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076650",
"telephone_number": "209-957-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2027 GRAND CANAL BLVD STE 21",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076650",
"telephone_number": "209-957-9601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMALLIE CHIROPRACTIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2013-02-05",
"status": "A",
"authorized_official_last_name": "SMALLIE",
"authorized_official_first_name": "DON",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER CHIROPRACTOR",
"authorized_official_telephone_number": "209-957-9601",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC11659",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ33842Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL GROUP #",
"identifier": "GDC000630",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.