Individual provider Active NPI

Sydhir S Dhillon, DC

  • Chiropractor
  • Ventura, CA
National Provider Identifier
1407995814
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29594 Issued in CA
Practice address
1624 E Main St
Ventura, CA 93001-3308
Phone
(805) 641-2004
Fax
(805) 641-2001
NPI assigned
Feb 5, 2007
Last updated
Mar 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29594 CA Primary

Addresses

Primary practice location

1624 E Main St
Ventura, CA 93001-3308

Mailing address

1624 E Main St
Ventura, CA 93001-3308
Phone (805) 641-2004

Other identifiers 1

IdentifierTypeStateIssuer
DC0295940OtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190521000857 NC Practitioner - Chiropractic 5395782916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29594CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Family Chiropractic PLLC Chiropractor CurrentSince Mar 31, 2026 Accepting new patients

Locations

10400 Mallard Creek Rd
Ste 102
Charlotte, NC 28262
Phone (704) 900-7077

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1407995814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013308",
            "telephone_number": "805-641-2004",
            "fax_number": "805-641-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013308",
            "telephone_number": "805-641-2004",
            "fax_number": "805-641-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "SYDHIR",
        "middle_name": "S",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0295940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.