Ralph D Andrade Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

20108 Issued in CA

Legal business name

RALPH D ANDRADE CHIROPRACTIC, INC

Practice address

2754 N Tracy Blvd
Tracy, CA 95376-1797

Phone

(209) 832-1996

Fax

(209) 832-1997

NPI assigned

Mar 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ralph Douglas Andrade, DCNPI 1649332628

Title

President

Phone

(209) 832-1996

Specialties & licenses 1

Addresses

Other names 1

• Andrade Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Ralph Douglas Andrade, DC

  • Chiropractor
  • Tracy, CA
  • NPI 1649332628
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1457592099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953761797",
            "telephone_number": "209-832-1996",
            "fax_number": "209-832-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953761797",
            "telephone_number": "209-832-1996",
            "fax_number": "209-832-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH D ANDRADE CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-832-1996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrade Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Tracy, CA
• Providers in Tracy, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.