Organization Active NPI

Jagtar S Dhesi DC a Chiropractic Corp

  • Independent Medical Examiner Chiropractor
  • Livermore, CA
National Provider Identifier
1679990782
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
DC27413 Issued in CA
Legal business name
JAGTAR S DHESI DC A CHIROPRACTIC CORP
Practice address
947 Bluebell Dr
Livermore, CA 94551-5319
Phone
(925) 606-6373
NPI assigned
Mar 26, 2014
Last updated
Apr 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Dr. Jagtar S Dhesi, DC ACHIROPRACTICCORPNPI 1518982669
Title
Doctor/Owner
Phone
(925) 606-6373

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
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X DC27413 CA Primary

Addresses

Primary practice location

947 Bluebell Dr
Livermore, CA 94551-5319

Mailing address

PO Box 657
San Ramon, CA 94583-0657
Phone (925) 606-6373

Other names 1

  • Springtown Wellness Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150810002342 CA Part B Supplier - Clinic/Group Practice 2668787375 Receives reassigned benefits from 1 practitioner
Practice locations: Livermore, CA; San Ramon, CA

National Provider Directory

National Provider Directory

Locations

947 Bluebell Dr
Livermore, CA 94551
Phone (925) 606-6373

1081 Market Pl
Ste 100
San Ramon, CA 94583
Phone (925) 275-9350

Practitioners & affiliated clinicians

Practitioners 4

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": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1679990782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 657",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945830657",
            "telephone_number": "925-606-6373",
            "fax_number": "925-606-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 BLUEBELL DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945515319",
            "telephone_number": "925-606-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGTAR S DHESI DC A CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "DHESI",
        "authorized_official_first_name": "JAGTAR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "925-606-6373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC ACHIROPRACTICCORP"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC27413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springtown Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.