Organization Active NPI

Atkinson Chiropractic Inc.

  • Chiropractor
  • Roseville, CA
National Provider Identifier
1679003248
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30983 Issued in CA
Legal business name
ATKINSON CHIROPRACTIC INC.
Practice address
151 N Sunrise Ave Ste 1413
Roseville, CA 95661-2934
Phone
(916) 749-1346
Fax
(916) 749-1347
NPI assigned
Jun 15, 2017
Reactivated
Aug 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Adam Michael AtkinsonNPI 1942453733
Title
DC
Phone
(916) 749-1346

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 DC30983 CA Primary

Addresses

Primary practice location

151 N Sunrise Ave Ste 1413
Roseville, CA 95661-2934

Mailing address

151 N Sunrise Ave Ste 1413
Roseville, CA 95661-2934
Phone (916) 749-1346

Other identifiers 1

IdentifierTypeStateIssuer
1942453733OtherCANPI NUMBER

Other names 1

  • Complete Care Chiropractic Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171222000519 CA Part B Supplier - Clinic/Group Practice 5991063851 Receives reassigned benefits from 1 practitioner
Practice locations: Roseville, CA

National Provider Directory

National Provider Directory

Locations

151 N Sunrise Ave
Ste 1413
Roseville, CA 95661
Phone (916) 749-1346

Practitioners & affiliated clinicians

Practitioners 2

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": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1679003248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 1413",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612934",
            "telephone_number": "916-749-1346",
            "fax_number": "916-749-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 1413",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612934",
            "telephone_number": "916-749-1346",
            "fax_number": "916-749-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATKINSON CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "deactivation_date": "2017-07-03",
        "reactivation_date": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "916-749-1346"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1942453733",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Care Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.