Parks Dynamic Chiropractic a Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC14716 Issued in CA

Legal business name

PARKS DYNAMIC CHIROPRACTIC A PROFESSIONAL CORPORATION

Practice address

11879 Kemper Rd Ste 3
Auburn, CA 95603-9021

Phone

(530) 885-3154

Fax

(530) 885-3192

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Penelope Snyder Martinez

Title

Billing Director

Phone

(530) 885-3154

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1659566818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11879 KEMPER RD STE 3",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039021",
            "telephone_number": "530-885-3154",
            "fax_number": "530-885-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11879 KEMPER RD STE 3",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039021",
            "telephone_number": "530-885-3154",
            "fax_number": "530-885-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKS DYNAMIC CHIROPRACTIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SNYDER MARTINEZ",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "530-885-3154"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1659566818",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BA290A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paolo a Poidmore and Brian C Crawford Dental Corporation
• Theodore Parfet
• Ryan Parino, AMFT
• Michael Charles Park, PA-C
• Sarah F Park, LPCC6546
• Erich Ross Parks, D.C.
• Danielle Parra
• Christina Parrott
• Partners in Care
• Partners in Care Hospice, LLC

• Chiropractor in Auburn, CA
• Providers in Auburn, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.