Active NPI
Basista & Lau Chiropractic Corporation
- Chiropractor
- San Jose, CA
National Provider Identifier
1578883211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC21229
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryNPI 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.