Active NPI
Devin Stanley Waterman, D.C.
- Chiropractor
- San Ramon, CA
National Provider Identifier
1700182219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31860
- Practice address
- 3160 Crow Canyon Rd Ste 120
San Ramon, CA 94583-1382 - Phone
- (925) 275-1990
- Fax
- (925) 275-1993
- NPI assigned
- Jan 31, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31860 | CA | Primary |
Addresses
Primary practice location
3160 Crow Canyon Rd Ste 120
San Ramon, CA 94583-1382
Mailing address
3160 Crow Canyon Rd Ste 120
San Ramon, CA 94583-1382
Phone (925) 275-1990
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31860 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterman Chiropractic Center Inc. | Chiropractor | Current | Accepting new patients |
Locations
3160 Crow Canyon Rd
Ste 120
San Ramon, CA 94583
Phone (925) 275-1990
Organizations & group practices 1
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.
-
- Chiropractor
- San Ramon, CA
- NPI 1407495997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296432000000",
"number": "1700182219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 CROW CANYON RD STE 120",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831382",
"telephone_number": "925-275-1990",
"fax_number": "925-275-1993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 CROW CANYON RD STE 120",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831382",
"telephone_number": "925-275-1990",
"fax_number": "925-275-1993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERMAN",
"first_name": "DEVIN",
"middle_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-31",
"last_updated": "2011-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
- Kayla Renee Waschkowsky
- Daphney Washington, RN
- Jerry H. Watanabe, D.D.S., M.S.
- Waterman Chiropractic Center Inc.
- Brent J Waterman, D.C.
- Katherine Watkin
- Shelly Webb
- Webster Orthopaedic Medical Group, a Professional Corp.
- Webster Orthopaedic Medical Group, a Professional Corporation
- Webster Orthopaedic Medical Group, a Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.