Organization Active NPI

Dr. Carla Rudolph Chiropractic Inc.

  • Chiropractor
  • San Carlos, CA
National Provider Identifier
1649451097
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16843 Issued in CA
Legal business name
DR. CARLA RUDOLPH CHIROPRACTIC INC.
Practice address
1785 San Carlos Ave
Suite 2C
San Carlos, CA 94070-2055
Phone
(650) 591-3323
Fax
(650) 591-3564
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Carla Denyce Rudolph, D.C.
Title
President/Owner
Phone
(650) 591-3323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 16843 CA Primary

Addresses

Primary practice location

1785 San Carlos Ave
Suite 2C
San Carlos, CA 94070-2055

Mailing address

1785 San Carlos Ave
Suite 2C
San Carlos, CA 94070-2055
Phone (650) 591-3323

National Provider Directory

National Provider Directory

Locations

1785 San Carlos Ave
Ste 2C
San Carlos, CA 94070
Phone (650) 591-3323

1768 El Camino Real
Ste A
San Carlos, CA 94070
Phone (650) 591-3323

1139 Bush St
Ste D
San Carlos, CA 94070
Phone (650) 591-3323

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": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1649451097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 SAN CARLOS AVE",
            "address_2": "SUITE 2C",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702055",
            "telephone_number": "650-591-3323",
            "fax_number": "650-591-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 SAN CARLOS AVE",
            "address_2": "SUITE 2C",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702055",
            "telephone_number": "650-591-3323",
            "fax_number": "650-591-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CARLA RUDOLPH CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "DENYCE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "650-591-3323",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.