NPIMap

Organization Active NPI

Ensley Chiropractic Inc.

  • Chiropractor
  • Fairfield, CA
National Provider Identifier
1609175447
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC012399 Issued in CA
Legal business name
ENSLEY CHIROPRACTIC INC.
Practice address
1313 Travis Blvd
Suite B
Fairfield, CA 94533-4621
Phone
(707) 426-3655
NPI assigned
Mar 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Dr. Robert Dana Ensley, DC
Title
President
Phone
(707) 426-3655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC012399 CA Primary

Addresses

Primary practice location

1313 Travis Blvd
Suite B
Fairfield, CA 94533-4621

Mailing address

1313 Travis Blvd.
Suite B
Fairfield, CA 94533
Phone (707) 426-3655

Other identifiers 1

IdentifierTypeStateIssuer
12399OtherCALICENSE

National Provider Directory

National Provider Directory

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": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1609175447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 TRAVIS BLVD.",
            "address_2": "SUITE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "707-426-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 TRAVIS BLVD",
            "address_2": "SUITE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334621",
            "telephone_number": "707-426-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSLEY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "ENSLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-426-3655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC012399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "12399",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.