Organization Active NPI

Chiropractic Health Center Inc. a Delaware Corporation

  • Health Service Clinic/Center
  • Campbell, CA
National Provider Identifier
1447533682
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
20694 Issued in CA
Legal business name
CHIROPRACTIC HEALTH CENTER INC. A DELAWARE CORPORATION
Practice address
151 N 1St St
Campbell, CA 95008-2031
Phone
(408) 378-1881
Fax
(408) 378-6020
NPI assigned
Sep 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Dr. Robert Douglas Martines, D.C.NPI 1861554750
Title
President
Phone
(408) 378-1881

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
Health Service Clinic/Center 261QH0100X 20694 CA Primary

Addresses

Primary practice location

151 N 1St St
Campbell, CA 95008-2031

Mailing address

151 N 1St St
Campbell, CA 95008-2031
Phone (408) 378-1881

Other identifiers 1

IdentifierTypeStateIssuer
1861554750OtherCANPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110929000151 CA Part B Supplier - Clinic/Group Practice 6204007958 Receives reassigned benefits from 1 practitioner
Practice locations: Campbell, CA; Los Gatos, CA

National Provider Directory

National Provider Directory

Locations

151 N 1st St
Campbell, CA 95008
Phone (408) 378-1881

15567 Union Ave
Los Gatos, CA 95032
Phone (408) 580-3265

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1447533682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N 1ST ST",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082031",
            "telephone_number": "408-378-1881",
            "fax_number": "408-378-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N 1ST ST",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082031",
            "telephone_number": "408-378-1881",
            "fax_number": "408-378-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CENTER INC. A DELAWARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "MARTINES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-378-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "20694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861554750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.