Organization Active NPI

Chad Lucas Bell, a Professional Chiropractic Corporation

  • Chiropractor
  • Walnut Creek, CA
National Provider Identifier
1689457095
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHAD LUCAS BELL, A PROFESSIONAL CHIROPRACTIC CORPORATION
Practice address
1270 Springbrook Rd Ste a
Walnut Creek, CA 94597-3941
Phone
(925) 938-9303
Fax
(925) 938-9304
NPI assigned
Aug 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Joanna Bayangos
Title
Billing Manager
Phone
(925) 938-9303

Specialties & licenses 1

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

Addresses

Primary practice location

1270 Springbrook Rd Ste a
Walnut Creek, CA 94597-3941

Mailing address

1270 Springbrook Rd Ste a
Walnut Creek, CA 94597-3941
Phone (925) 938-9303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240611001273 CA Part B Supplier - Clinic/Group Practice 6103368766 Receives reassigned benefits from 1 practitioner
Practice locations: Walnut Creek, CA

National Provider Directory

National Provider Directory

Locations

1270 Springbrook Rd
Ste A
Walnut Creek, CA 94597
Phone (510) 980-5763

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": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1689457095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 SPRINGBROOK RD STE A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973941",
            "telephone_number": "925-938-9303",
            "fax_number": "925-938-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 SPRINGBROOK RD STE A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973941",
            "telephone_number": "925-938-9303",
            "fax_number": "925-938-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD LUCAS BELL, A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "BAYANGOS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "925-938-9303"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.