Organization Active NPI

Bellefeuille Chiropractic a Professional Corporation

  • Chiropractor
  • Santa Barbara, CA
National Provider Identifier
1649720368
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33514 Issued in CA
Legal business name
BELLEFEUILLE CHIROPRACTIC A PROFESSIONAL CORPORATION
Doing business as
Goodland Chiropractic
Practice address
1602 State St
Santa Barbara, CA 93101-2520
Phone
(805) 722-9719
Fax
(888) 399-7912
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Dr. Justine Marie Bellefeuille, D.C.NPI 1073967477
Title
Chiropractor
Phone
(805) 722-9719

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 33514 CA Primary

Addresses

Primary practice location

1602 State St
Santa Barbara, CA 93101-2520

Mailing address

1602 State St
Santa Barbara, CA 93101-2520
Phone (805) 722-9719

Other names 1

  • Goodland Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170830002061 CA Part B Supplier - Clinic/Group Practice 9032482880 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1649720368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012520",
            "telephone_number": "805-722-9719",
            "fax_number": "888-399-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012520",
            "telephone_number": "805-722-9719",
            "fax_number": "888-399-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFEUILLE CHIROPRACTIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2022-08-26",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "BELLEFEUILLE",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "805-722-9719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodland Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goodland Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.