Organization Active NPI

Spurlock Chiropractic Spinal Decompression Clinic, Inc

  • Clinic/Center
  • San Luis Obispo, CA
National Provider Identifier
1396029435
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CA28858 Issued in CA
Legal business name
SPURLOCK CHIROPRACTIC SPINAL DECOMPRESSION CLINIC, INC
Practice address
1318 Garden St
San Luis Obispo, CA 93401-3916
Phone
(805) 540-2010
NPI assigned
Oct 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Dr. James Madison Spurlock IV, D.C.
Title
President
Phone
(707) 223-1682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CA28858 CA Primary

Addresses

Primary practice location

1318 Garden St
San Luis Obispo, CA 93401-3916

Mailing address

1318 Garden St
San Luis Obispo, CA 93401-3916
Phone (805) 540-2010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1396029435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 GARDEN ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013916",
            "telephone_number": "805-540-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 GARDEN ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013916",
            "telephone_number": "805-540-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPURLOCK CHIROPRACTIC SPINAL DECOMPRESSION CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "SPURLOCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MADISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-223-1682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "CA28858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.