Organization Active NPI

Diana Tole Chiropractic Corporation

  • Chiropractor
  • Morgan Hill, CA
National Provider Identifier
1629572391
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31084 Issued in CA
Legal business name
DIANA TOLE CHIROPRACTIC CORPORATION
Practice address
18181 Butterfield Blvd Ste 175
Morgan Hill, CA 95037-8109
Phone
(408) 778-6770
NPI assigned
Mar 19, 2018
Last updated
Mar 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Dr. Diana Lynn Tole, DCNPI 1851545974
Title
President
Phone
(408) 607-4657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC31084 CA Primary

Addresses

Primary practice location

18181 Butterfield Blvd Ste 175
Morgan Hill, CA 95037-8109

Mailing address

190 Christine Lynn Dr
Morgan Hill, CA 95037-3552
Phone (408) 607-4657

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191015001613 CA Part B Supplier - Clinic/Group Practice 7113258617 Receives reassigned benefits from 1 practitioner
Practice locations: Morgan Hill, CA

National Provider Directory

National Provider Directory

Locations

18181 Butterfield Blvd
Ste 175
Morgan Hill, CA 95037
Phone (408) 616-0577

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1629572391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CHRISTINE LYNN DR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950373552",
            "telephone_number": "408-607-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 BUTTERFIELD BLVD STE 175",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378109",
            "telephone_number": "408-778-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA TOLE CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "TOLE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-607-4657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.