NPIMap

Organization Active NPI

Health Logic, LLC

  • Sports Physician Chiropractor
  • Menlo Park, CA
National Provider Identifier
1437427077
Registry record updated Oct 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
22727 Issued in CA
Legal business name
HEALTH LOGIC, LLC
Practice address
633 Menlo Ave
Suite 100
Menlo Park, CA 94025-4711
Phone
(650) 853-1800
Fax
(650) 853-1801
NPI assigned
Dec 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2012

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

Authorized official

Name
Dr. Rikke Johansen, D.C.NPI 1124079397
Title
Ceo/Partner
Phone
(650) 853-1800

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 22727 CA Primary

Addresses

Primary practice location

633 Menlo Ave
Suite 100
Menlo Park, CA 94025-4711

Mailing address

633 Menlo Ave
Suite 100
Menlo Park, CA 94025-4711
Phone (650) 853-1800

National Provider Directory

National Provider Directory

Locations

633 Menlo Ave
Ste 100
Menlo Park, CA 94025
Phone (650) 853-1800

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": "1323475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349481600000",
    "number": "1437427077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 MENLO AVE",
            "address_2": "SUITE 100",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254711",
            "telephone_number": "650-853-1800",
            "fax_number": "650-853-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MENLO AVE",
            "address_2": "SUITE 100",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254711",
            "telephone_number": "650-853-1800",
            "fax_number": "650-853-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH LOGIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-10",
        "last_updated": "2012-10-06",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "RIKKE",
        "authorized_official_title_or_position": "CEO/PARTNER",
        "authorized_official_telephone_number": "650-853-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "22727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2012; 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.