Organization Active NPI

Haque Chiropractic Inc

  • Chiropractor
  • Livermore, CA
National Provider Identifier
1376720540
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29059 Issued in CA
Legal business name
HAQUE CHIROPRACTIC INC
Practice address
1855 First St
Livermore, CA 94550-4401
Phone
(925) 960-1960
NPI assigned
Jan 29, 2008
Last updated
Feb 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Anita Haque, DCNPI 1225061831
Title
Owner/President
Phone
(925) 960-1960

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC29059 CA Primary

Addresses

Primary practice location

1855 First St
Livermore, CA 94550-4401

Mailing address

1855 First St
Livermore, CA 94550-4401
Phone (925) 960-1960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050310000998 CA Part B Supplier - Clinic/Group Practice 1254385313 Receives reassigned benefits from 1 practitioner
Practice locations: Livermore, CA

National Provider Directory

National Provider Directory

Locations

1635 Chestnut St
Ste B
Livermore, CA 94551
Phone (925) 960-1960

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1376720540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 FIRST ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504401",
            "telephone_number": "925-960-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 FIRST ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504401",
            "telephone_number": "925-960-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAQUE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "925-960-1960",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.