Health 101 Chiropractic and Nutrition

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

31412 Issued in CA

Legal business name

HEALTH 101 CHIROPRACTIC AND NUTRITION

Practice address

399 Grand Ave
Oakland, CA 94610-4825

Phone

(510) 719-9877

NPI assigned

Oct 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Khalid Chaney, D.C.

Title

Owner

Phone

(510) 719-9877

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1578933552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104825",
            "telephone_number": "510-719-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH 101 CHIROPRACTIC AND NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-719-9877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "31412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Oakland, CA
• Providers in Oakland, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.