Active NPI
Irwin Chiropractic Inc.
- Chiropractor
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0109420
- Legal business name
- IRWIN CHIROPRACTIC INC.
- Practice address
- 1545 Saint Marks PLZ Ste 10
Stockton, CA 95207-6411 - Phone
- (209) 951-8650
- Fax
- (209) 951-4659
- NPI assigned
- Oct 11, 2007
- Last updated
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James D Irwin, D.C.
- Title
- President
- Phone
- (209) 951-8650
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0109420 | CA | Primary |
Addresses
Primary practice location
1545 Saint Marks PLZ Ste 10
Stockton, CA 95207-6411
Mailing address
1545 Saint Marks PLZ Ste 10
Stockton, CA 95207-6411
Phone (209) 951-8650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GDC000050 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1545 Saint Marks Plz
Ste 10
Stockton, CA 95207
Phone (209) 951-8650
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.
-
- Chiropractor
- Stockton, CA
- NPI 1447330121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1437347713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 SAINT MARKS PLZ STE 10",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076411",
"telephone_number": "209-951-8650",
"fax_number": "209-951-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 SAINT MARKS PLZ STE 10",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076411",
"telephone_number": "209-951-8650",
"fax_number": "209-951-4659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRWIN CHIROPRACTIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "IRWIN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-951-8650",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC0109420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GDC000050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.