Organization Active NPI

DO Chiropractic Wellness Center

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1487850848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 28367 Issued in CA
Legal business name
DO CHIROPRACTIC WELLNESS CENTER
Practice address
1610 Westwood Dr
Suite 4
San Jose, CA 95125-5110
Phone
(408) 269-3300
Fax
(408) 269-3301
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Katherine Ngoc Diep DO, D.C.
Title
Owner
Phone
(408) 269-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 28367 CA Primary

Addresses

Primary practice location

1610 Westwood Dr
Suite 4
San Jose, CA 95125-5110

Mailing address

1610 Westwood Dr
Suite 4
San Jose, CA 95125-5110
Phone (408) 269-3300

National Provider Directory

National Provider Directory

Locations

1610 Westwood Dr
Ste 4
San Jose, CA 95125
Phone (408) 269-3300

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487850848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 WESTWOOD DR",
            "address_2": "SUITE 4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255110",
            "telephone_number": "408-269-3300",
            "fax_number": "408-269-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 WESTWOOD DR",
            "address_2": "SUITE 4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255110",
            "telephone_number": "408-269-3300",
            "fax_number": "408-269-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DO CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "NGOC DIEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-269-3300",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 28367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.