Health Connection Chiropractic

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DC31789 Issued in CA

Legal business name

HEALTH CONNECTION CHIROPRACTIC

Practice address

2801 Moorpark Ave Ste 2
San Jose, CA 95128-3103

Phone

(408) 624-7543

Fax

(408) 261-1915

NPI assigned

Dec 13, 2013

Last updated

Dec 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Chan, DCNPI 1235424078

Title

Chiropractor

Phone

(408) 624-7543

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Chan, DC

  • Chiropractor
  • San Jose, CA
  • NPI 1235424078
  NPD (past) Authorized official

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1609297878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MOORPARK AVE SUITE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-624-7543",
            "fax_number": "408-261-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MOORPARK AVE STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283103",
            "telephone_number": "408-624-7543",
            "fax_number": "408-261-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CONNECTION CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "408-624-7543",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "DC31789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235424078",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Care Alliance for Life, Inc.
• Health Care Options Inc.
• Health Chiropractic Clinic, Inc
• Health Diagnostics of California LLC
• Health Gorilla Inc
• Health Mobile
• Healthdrive Medical Services of California, LLC
• Healthier Kids Foundation

• Preferred Provider Organization in San Jose, CA
• Providers in San Jose, 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 Dec 13, 2013; 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.