Organization Active NPI

Basista & Lau Chiropractic Corporation

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1578883211
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21229 Issued in CA
Legal business name
BASISTA & LAU CHIROPRACTIC CORPORATION
Practice address
6940 Santa Teresa Blvd
Suite 2
San Jose, CA 95119-1345
Phone
(408) 363-1991
Fax
(408) 363-1989
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Dr. David W Basista
Title
President
Phone
(408) 363-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC21229 CA Primary

Addresses

Primary practice location

6940 Santa Teresa Blvd
Suite 2
San Jose, CA 95119-1345

Mailing address

6940 Santa Teresa Blvd
Suite 2
San Jose, CA 95119-1345
Phone (408) 363-1991

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1578883211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 SANTA TERESA BLVD",
            "address_2": "SUITE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191345",
            "telephone_number": "408-363-1991",
            "fax_number": "408-363-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 SANTA TERESA BLVD",
            "address_2": "SUITE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191345",
            "telephone_number": "408-363-1991",
            "fax_number": "408-363-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASISTA & LAU CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "BASISTA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-363-1991",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.