Charles R Bissell, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

111NS005XCHIROPRACTI Issued in CA

Practice address

1470 E Valley Rd
Suite M
Santa Barbara, CA 93108-1220

Phone

(805) 565-5252

Fax

(805) 565-5250

NPI assigned

Jan 23, 2007

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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Bissell Chiropractic Clinic IncGroup PAC ID 5597793323, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bissell Chiropractic Clinic Inc

  • Physical Therapist
  • Santa Barbara, CA
  • NPI 1255487757

  Sports Physician

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1568516656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 EAST VALLEY ROAD",
            "address_2": "SUITE M",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93108",
            "telephone_number": "805-565-5252",
            "fax_number": "805-565-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 E VALLEY RD",
            "address_2": "SUITE M",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931081220",
            "telephone_number": "805-565-5252",
            "fax_number": "805-565-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSELL",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "111NS005XCHIROPRACTI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Birken, MD
• Danielle Birrittella, LMFT
• Catherine Birtalan
• Margaret D. Bischel
• Bissell Chiropractic Clinic Inc
• Bree-Anna Bissonnette, OTR/L
• Mimosa J Bitter, RN
• Troy Bjerkness, CRC
• Jerold A Black, M.D.
• Marlon Dean Black, M.D.

• Sports Physician Chiropractor in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.

Verify at the official NPI Registry.