Organization Active NPI

Whole Body Chiropractic & Massage

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1669900569
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32856 Issued in CA
Legal business name
WHOLE BODY CHIROPRACTIC & MASSAGE
Practice address
1399 S Winchester Blvd Ste 140
San Jose, CA 95128-4342
Phone
(408) 261-0772
Fax
(408) 261-0766
NPI assigned
May 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Drew McClure, DCNPI 1508281742
Title
Shareholder
Phone
(408) 261-0772

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 32856 CA Primary

Addresses

Primary practice location

1399 S Winchester Blvd Ste 140
San Jose, CA 95128-4342

Mailing address

1399 S Winchester Blvd Ste 140
San Jose, CA 95128-4342
Phone (408) 261-0772

National Provider Directory

National Provider Directory

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": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669900569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 S WINCHESTER BLVD STE 140",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284342",
            "telephone_number": "408-261-0772",
            "fax_number": "408-261-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 S WINCHESTER BLVD STE 140",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284342",
            "telephone_number": "408-261-0772",
            "fax_number": "408-261-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE BODY CHIROPRACTIC & MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "408-261-0772",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.