NPIMap

Organization Active NPI

Bodner Chiropractic Professional Corporation

  • Chiropractor
  • Redwood City, CA
National Provider Identifier
1376758995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BODNER CHIROPRACTIC PROFESSIONAL CORPORATION
Practice address
1675 Boadway
A
Redwood City, CA 94063
Phone
(650) 368-8525
Fax
(650) 368-1370
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sohila A Bodner, DC
Title
Prsedent
Phone
(650) 368-8525

Specialties & licenses 1

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

Addresses

Primary practice location

1675 Boadway
A
Redwood City, CA 94063

Mailing address

1675 Broadway St
A
Redwood City, CA 94063-2401
Phone (650) 368-8525

National Provider Directory

National Provider Directory

Locations

21524 Foothill Blvd
Hayward, CA 94541
Phone (510) 461-0331

1675 Broadway St
Ste A
Redwood City, CA 94063

Practitioners & affiliated clinicians

Practitioners 4

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376758995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 BROADWAY ST",
            "address_2": "A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632401",
            "telephone_number": "650-368-8525",
            "fax_number": "650-368-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 BOADWAY",
            "address_2": "A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-368-8525",
            "fax_number": "650-368-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODNER CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BODNER",
        "authorized_official_first_name": "SOHILA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRSEDENT",
        "authorized_official_telephone_number": "650-368-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.