NPIMap

Organization Active NPI

Wroten Chiropractic Incorporated

Doing business as Serendipity Chiropractic

  • Chiropractor
  • Petaluma, CA
National Provider Identifier
1427720226
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WROTEN CHIROPRACTIC INCORPORATED
Doing business as
Serendipity Chiropractic
Practice address
1301 Redwood Way Ste 150
Petaluma, CA 94954-1136
Phone
(530) 334-3400
NPI assigned
Sep 30, 2021
Last updated
Sep 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Dr. Jeremy Wroten, DCNPI 1790343598
Title
President
Phone
(530) 334-3400

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1301 Redwood Way Ste 150
Petaluma, CA 94954-1136

Mailing address

1301 Redwood Way Ste 150
Petaluma, CA 94954-1136
Phone (530) 334-3400

Other names 1

  • Serendipity Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220124000556 CA Part B Supplier - Clinic/Group Practice 1052703154 Receives reassigned benefits from 1 practitioner
Practice locations: Petaluma, CA

National Provider Directory

National Provider Directory

Locations

1301 Redwood Way
Ste 150
Petaluma, CA 94954
Phone (707) 773-2225

Practitioners & affiliated clinicians

Practitioners 4

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": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1427720226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 REDWOOD WAY STE 150",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541136",
            "telephone_number": "530-334-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 REDWOOD WAY STE 150",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541136",
            "telephone_number": "530-334-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WROTEN CHIROPRACTIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "WROTEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-334-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serendipity Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.