Active NPI
Christina M. Dumbadse, D.C.
- Chiropractor
- Santa Rosa, CA
National Provider Identifier
1497734529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC17108
- Practice address
- 817 2ND St
Santa Rosa, CA 95404-4609 - Phone
- (707) 575-8929
- Fax
- (707) 575-0573
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC17108 | CA | Primary |
Addresses
Primary practice location
817 2ND St
Santa Rosa, CA 95404-4609
Mailing address
817 2ND St
Santa Rosa, CA 95404-4609
Phone (707) 575-8929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- University of Southern California Keck School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
817 2ND St
Santa Rosa, CA 95404-4609
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC17108 | CA | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Santa Rosa, CA
- NPI 1467432104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1497734529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 2ND ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044609",
"telephone_number": "707-575-8929",
"fax_number": "707-575-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 2ND ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044609",
"telephone_number": "707-575-8929",
"fax_number": "707-575-0573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMBADSE",
"first_name": "CHRISTINA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.