Organization Active NPI

Brady Fortes Chiropractic Corporation

Doing business as Cafe of Life Chiropractic

  • Chiropractor
  • Folsom, CA
National Provider Identifier
1427278902
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27087 Issued in CA
Legal business name
BRADY FORTES CHIROPRACTIC CORPORATION
Doing business as
Cafe of Life Chiropractic
Practice address
608 Sutter St
Suite 100
Folsom, CA 95630-2545
Phone
(916) 985-9686
Fax
(916) 985-9687
NPI assigned
Apr 26, 2007
Last updated
Aug 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Dr. Maria C Brady, D.C.NPI 1043353071
Title
Owner
Phone
(916) 985-9686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27087 CA Primary

Addresses

Primary practice location

608 Sutter St
Suite 100
Folsom, CA 95630-2545

Mailing address

608 Sutter St
Suite 100
Folsom, CA 95630-2545
Phone (916) 985-9686

Other identifiers 4

IdentifierTypeStateIssuer
1164612560OtherCANPI DR. DUANE GILBERT, DC
1720299472OtherCADR. DAN BRADY, DC
1679771760OtherCANPI DR. JAMIE LENZ, DC
1043353071OtherCANPI, DR. MARIA BRADY, DC

Other names 1

  • Cafe of Life Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

608 Sutter St
Ste 100
Folsom, CA 95630
Phone (916) 353-0708

Practitioners & affiliated clinicians

Practitioners 2

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1427278902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 SUTTER ST",
            "address_2": "SUITE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302545",
            "telephone_number": "916-985-9686",
            "fax_number": "916-985-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SUTTER ST",
            "address_2": "SUITE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302545",
            "telephone_number": "916-985-9686",
            "fax_number": "916-985-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY FORTES CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-985-9686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "27087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR. DUANE GILBERT, DC",
            "identifier": "1164612560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. DAN BRADY, DC",
            "identifier": "1720299472",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR. JAMIE LENZ, DC",
            "identifier": "1679771760",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, DR. MARIA BRADY, DC",
            "identifier": "1043353071",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cafe of Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.