Active NPI
Colleen A Piva, D.C.
- Sports Physician Chiropractor
- Dublin, CA
National Provider Identifier
1427088327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC23430
- Practice address
- 11875 Dublin Blvd
Suite D-270
Dublin, CA 94568-2843 - Phone
- (925) 803-0321
- Fax
- (925) 803-0350
- NPI assigned
- Jul 4, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC23430 | CA | Primary |
Addresses
Primary practice location
11875 Dublin Blvd
Suite D-270
Dublin, CA 94568-2843
Mailing address
11875 Dublin Blvd
Suite D-270
Dublin, CA 94568-2843
Phone (925) 803-0321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC23430 | CA | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1427088327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11875 DUBLIN BLVD",
"address_2": "SUITE D-270",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682843",
"telephone_number": "925-803-0321",
"fax_number": "925-803-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11875 DUBLIN BLVD",
"address_2": "SUITE D-270",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682843",
"telephone_number": "925-803-0321",
"fax_number": "925-803-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIVA",
"first_name": "COLLEEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC23430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.