NPIMap

Organization Active NPI

Fisher Family Chiropractic Inc

  • Chiropractor
  • Modesto, CA
National Provider Identifier
1669740148
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16761 Issued in CA
Legal business name
FISHER FAMILY CHIROPRACTIC INC
Practice address
112 El Vista Ave
Modesto, CA 95354-3006
Phone
(209) 526-1284
Fax
(209) 526-3781
NPI assigned
Dec 12, 2011
Last updated
Dec 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Paul W. Fisher, D.C.
Title
Owner/Ceo
Phone
(209) 526-1284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 16761 CA Primary

Addresses

Primary practice location

112 El Vista Ave
Modesto, CA 95354-3006

Mailing address

112 El Vista Ave
Modesto, CA 95354-3006
Phone (209) 526-1284

National Provider Directory

National Provider Directory

Locations

112 El Vista Ave
Modesto, CA 95354
Phone (209) 526-1284

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1669740148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 EL VISTA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953543006",
            "telephone_number": "209-526-1284",
            "fax_number": "209-526-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 EL VISTA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953543006",
            "telephone_number": "209-526-1284",
            "fax_number": "209-526-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "209-526-1284",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.