Ott Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33000 Issued in CA

Legal business name

OTT CHIROPRACTIC, INC.

Doing business as

Active Life Chiropractic

Practice address

2210 Encinitas Blvd
Suite N
Encinitas, CA 92024-4358

Phone

(760) 230-6013

NPI assigned

Aug 7, 2015

Organization subpart

No

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

Authorized official

Name

Shane Ott, DC

Title

Owner/DC

Phone

(760) 230-6013

Specialties & licenses 1

Addresses

Other names 1

• ACTIVE LIFE CHIROPRACTIC Doing business as

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1699151019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920070546",
            "telephone_number": "858-436-7600",
            "fax_number": "760-797-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 ENCINITAS BLVD",
            "address_2": "SUITE N",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244358",
            "telephone_number": "760-230-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTT CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER/DC",
        "authorized_official_telephone_number": "760-230-6013",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTIVE LIFE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doreet Judith Osman, CD
• Ghada Osman
• Audrey Oster, RN, MSN
• Arianelly Romina Ota
• Andrea Otani Barrera, DMD
• Alynah Alissa Oviedo, BS, RBT
• Betty Owen, M.S., LMFT
• James Patrick Owen, O.D.
• Jeffrey Scott Owen, PHD
• Laurie M. Owen, M.A.

• Chiropractor in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.