Organization Active NPI

Haley - Carr Spinal & Sports Care Chiropractic Center, Inc.

  • Chiropractor
  • Mountain View, CA
National Provider Identifier
1669613626
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3294 Issued in CA
Legal business name
HALEY - CARR SPINAL & SPORTS CARE CHIROPRACTIC CENTER, INC.
Practice address
2290 W El Camino Real
Suite 4
Mountain View, CA 94040-1631
Phone
(650) 967-1152
Fax
(650) 967-5328
NPI assigned
Mar 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
Dr. Brent Andrew Haley, D.C.
Title
Doctor/Owner/President
Phone
(650) 967-1152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3294 CA Primary

Addresses

Primary practice location

2290 W El Camino Real
Suite 4
Mountain View, CA 94040-1631

Mailing address

2290 W. El Camino Real
Suite 4
Mountain View, CA 94040-1632
Phone (650) 967-1152

National Provider Directory

National Provider Directory

Locations

5050 El Camino Real
Ste 112
Los Altos, CA 94022
Phone (650) 967-1152

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": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1669613626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W. EL CAMINO REAL",
            "address_2": "SUITE 4",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401632",
            "telephone_number": "650-967-1152",
            "fax_number": "650-967-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 W EL CAMINO REAL",
            "address_2": "SUITE 4",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401631",
            "telephone_number": "650-967-1152",
            "fax_number": "650-967-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEY - CARR SPINAL & SPORTS CARE CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DOCTOR/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "650-967-1152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "3294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.