Organization Active NPI

East Bay Chiropractic Health Center Dr Collins Inc

Doing business as East Bay Chiropractic Health Center

  • Rehabilitation Chiropractor
  • Pinole, CA
National Provider Identifier
1609153022
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC0242640 Issued in CA
Legal business name
EAST BAY CHIROPRACTIC HEALTH CENTER DR COLLINS INC
Doing business as
East Bay Chiropractic Health Center
Practice address
2574 Appian Way
Pinole, CA 94564-2237
Phone
(510) 243-2425
Fax
(510) 243-2428
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Susan E Knapp
Title
Ceo
Phone
(510) 243-2425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X DC0242640 CA Primary

Addresses

Primary practice location

2574 Appian Way
Pinole, CA 94564-2237

Mailing address

2574 Appian Way
Pinole, CA 94564-2237
Phone (510) 243-2425

Other names 1

  • East Bay Chiropractic Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230321002763 CA Part B Supplier - Clinic/Group Practice 0042684698 Receives reassigned benefits from 3 practitioners
Practice locations: Pinole, CA

National Provider Directory

National Provider Directory

Locations

2574 Appian Way
Pinole, CA 94564
Phone (510) 243-2425

3050 Hilltop Mall Rd
Richmond, CA 94806
Phone (510) 243-2425

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1609153022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2574 APPIAN WAY",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642237",
            "telephone_number": "510-243-2425",
            "fax_number": "510-243-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2574 APPIAN WAY",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642237",
            "telephone_number": "510-243-2425",
            "fax_number": "510-243-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY CHIROPRACTIC HEALTH CENTER DR COLLINS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-243-2425"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC0242640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bay Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.