Collins Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC21099 Issued in CA

Legal business name

COLLINS CHIROPRACTIC INC

Practice address

555 4TH St Ste 1
Clovis, CA 93612-1192

Phone

(559) 323-5000

Fax

(559) 323-5525

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Judi C Preuss-Collins, D.C.

Title

Doctor of Chiropractic

Phone

(559) 323-5000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1497834543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 4TH ST STE 1",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121192",
            "telephone_number": "559-323-5000",
            "fax_number": "559-323-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 4TH ST STE 1",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121192",
            "telephone_number": "559-323-5000",
            "fax_number": "559-323-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "PREUSS-COLLINS",
        "authorized_official_first_name": "JUDI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "559-323-5000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0210990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Cogburn
• Chelsey Danielle Colburn, LMFT #135622
• Kathryn Colburn, PT, DPT
• Dylan A Cole
• Sarah Adoline Collard
• Collins Chiropractic Inc
• Victor Collins, D.C.
• Community Anesthesia Providers Medical Group Inc
• Community Dental Services
• Community Emergency Medical Associates

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.