Organization Active NPI

Spinal Health Chiropractic a Spuller Corporation

  • Chiropractor
  • Pleasanton, CA
National Provider Identifier
1508316795
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 30046 Issued in CA
Legal business name
SPINAL HEALTH CHIROPRACTIC A SPULLER CORPORATION
Practice address
2340 Santa Rita Rd Ste 3
Pleasanton, CA 94566-4100
Phone
(925) 484-2558
Fax
(925) 484-3951
NPI assigned
Oct 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Ryan Spuller, D.C.NPI 1811920259
Title
President
Phone
(925) 484-2558

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 30046 CA Primary

Addresses

Primary practice location

2340 Santa Rita Rd Ste 3
Pleasanton, CA 94566-4100

Mailing address

2340 Santa Rita Rd Ste 3
Pleasanton, CA 94566-4100
Phone (925) 484-2558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161121001338 CA Part B Supplier - Clinic/Group Practice 9537448204 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasanton, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1508316795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 SANTA RITA RD STE 3",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664100",
            "telephone_number": "925-484-2558",
            "fax_number": "925-484-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SANTA RITA RD STE 3",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664100",
            "telephone_number": "925-484-2558",
            "fax_number": "925-484-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL HEALTH CHIROPRACTIC A SPULLER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "SPULLER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-484-2558",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 30046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.