Individual provider Active NPI

Mary Catherine Wolf, DC

  • Chiropractor
  • Turlock, CA
National Provider Identifier
1689776460
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17087 Issued in CA
Practice address
1518 Colorado Ave
Turlock, CA 95380-2711
Phone
(209) 634-5611
Fax
(209) 634-9951
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC17087 CA Primary

Addresses

Primary practice location

1518 Colorado Ave
Turlock, CA 95380-2711

Mailing address

1518 Colorado Ave
Turlock, CA 95380-2711
Phone (209) 634-5611

Other identifiers 1

IdentifierTypeStateIssuer
DC17087OtherPIN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC17087CAMDChiropractor
17087CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Emanuel Medical Center, Inc. Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1689776460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953802711",
            "telephone_number": "209-634-5611",
            "fax_number": "209-634-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953802711",
            "telephone_number": "209-634-5611",
            "fax_number": "209-634-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN #",
            "identifier": "DC17087",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.