NPIMap

Organization Active NPI

Interactive Chiropractic and Rehabilitation Clinic Inc

  • Chiropractor
  • Escondido, CA
National Provider Identifier
1417078098
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7426 Issued in AZ
Legal business name
INTERACTIVE CHIROPRACTIC AND REHABILITATION CLINIC INC
Practice address
1560 S Hale Ave
Escondido, CA 92029-3051
Phone
(480) 704-3858
NPI assigned
Apr 2, 2007
Last updated
Apr 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Chen Raquel, D.C.
Title
President
Phone
(480) 704-3858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7426 AZ Primary

Addresses

Primary practice location

1560 S Hale Ave
Escondido, CA 92029-3051

Mailing address

1560 S Hale Ave
Escondido, CA 92029-3051
Phone (480) 704-3858

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1417078098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 S HALE AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920293051",
            "telephone_number": "480-704-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 S HALE AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920293051",
            "telephone_number": "480-704-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE CHIROPRACTIC AND REHABILITATION CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "RAQUEL",
        "authorized_official_first_name": "CHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-704-3858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.