Organization Active NPI

Irwin Chiropractic Inc.

  • Chiropractor
  • Stockton, CA
National Provider Identifier
1437347713
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0109420 Issued in CA
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
James D Irwin, D.C.NPI 1447330121
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GDC000050MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.