Douglas Aaron George, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC22678 Issued in CA

Practice address

6940 Santa Teresa Blvd Ste 6
San Jose, CA 95119-1345

Phone

(408) 429-2888

Fax

(408) 622-4251

NPI assigned

Aug 30, 2005

Reactivated

Dec 27, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kinetic Wellness Center. Dr. George Chiropractic Corp

  • Chiropractor
  • San Jose, CA
  • NPI 1548668528
  Authorized official Same address or phone

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1538152137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 SANTA TERESA BLVD STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191345",
            "telephone_number": "408-429-2888",
            "fax_number": "408-622-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 SANTA TERESA BLVD STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191345",
            "telephone_number": "408-429-2888",
            "fax_number": "408-622-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "DOUGLAS",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "deactivation_date": "2019-11-20",
        "reactivation_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Gentle
• George G Solanzo DMD Inc
• George M. Yellich, DDS, Ms & Joseph a. Sands, Jr., DDS, Dental Corp (ClearChoice Dental Implant Center)
• Elizabeth George Navarro
• Alison Hewitt George, MS, OTR/L
• Renee George
• Ruby George
• Sally George
• Andrea Gera, BSW
• Atul Gera, M.D.

• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.