Robert J Adamich, D.C., B.A.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

29247 Issued in CA

Practice address

1115 Irwin St
Suite 200
San Rafael, CA 94901-3321

Phone

(415) 272-4744

Fax

(415) 457-9119

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669682803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 IRWIN ST",
            "address_2": "SUITE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013321",
            "telephone_number": "415-272-4744",
            "fax_number": "415-457-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 IRWIN ST",
            "address_2": "SUITE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013321",
            "telephone_number": "415-272-4744",
            "fax_number": "415-457-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMICH",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C., B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.