Acker Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-26174 Issued in CA

Legal business name

ACKER CHIROPRACTIC INC

Practice address

33669 Date Palm Dr
Cathedral City, CA 92234-4730

Phone

(760) 770-9133

Fax

(760) 770-7383

NPI assigned

Jan 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Cory Wayne Acker, D.C.NPI 1710067798

Title

President

Phone

(760) 770-9133

Specialties & licenses 1

Addresses

Other names 1

• Acker Chiropractic & Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Cory Wayne Acker, D.C.

  • Chiropractor
  • Cathedral City, CA
  • NPI 1710067798

  CA, Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1619208311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33669 DATE PALM DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922344730",
            "telephone_number": "760-770-9133",
            "fax_number": "760-770-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33669 DATE PALM DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922344730",
            "telephone_number": "760-770-9133",
            "fax_number": "760-770-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACKER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "ACKER",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-770-9133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-26174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acker Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Cathedral City, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.