Organization Active NPI

Bivolcic Roe Chiropractic Corporation

  • Chiropractor
  • Oakland, CA
National Provider Identifier
1649343708
Registry record updated Feb 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BIVOLCIC ROE CHIROPRACTIC CORPORATION
Practice address
6333 Telegraph Ave
Suite #203
Oakland, CA 94609-1359
Phone
(510) 450-1144
Fax
(510) 450-1147
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2012

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

Authorized official

Name
Dr. Delene Bivolcic, D.C.NPI 1902991227
Title
Owner
Phone
(510) 450-1144

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 Primary

Addresses

Primary practice location

6333 Telegraph Ave
Suite #203
Oakland, CA 94609-1359

Mailing address

6333 Telegraph Ave
Suite #203
Oakland, CA 94609-1359
Phone (510) 450-1144

Other names 1

  • IMPAC Health Doing business as

National Provider Directory

National Provider Directory

Locations

6333 Telegraph Ave
Ste 203
Oakland, CA 94609
Phone (510) 450-1144

Practitioners & affiliated clinicians

Practitioners 1

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330128000000",
    "number": "1649343708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 TELEGRAPH AVE",
            "address_2": "SUITE #203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091359",
            "telephone_number": "510-450-1144",
            "fax_number": "510-450-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 TELEGRAPH AVE",
            "address_2": "SUITE #203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091359",
            "telephone_number": "510-450-1144",
            "fax_number": "510-450-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIVOLCIC ROE CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-02-25",
        "status": "A",
        "authorized_official_last_name": "BIVOLCIC",
        "authorized_official_first_name": "DELENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-450-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMPAC Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.