Organization Active NPI

Mary Catherine Wolf

  • Chiropractor
  • Turlock, CA
National Provider Identifier
1710166681
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17087 Issued in CA
Legal business name
MARY CATHERINE WOLF
Doing business as
Legacy Chiropractic
Practice address
1518 Colorado Ave
Turlock, CA 95380-2711
Phone
(209) 634-5611
Fax
(209) 634-9951
NPI assigned
Oct 29, 2007
Organization subpart
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

Authorized official

Name
Dr. Mary Catherine Wolf, DC
Title
Sole Prop
Phone
(209) 634-5611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 names 1

  • Legacy Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1710166681",
    "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": {
        "organization_name": "MARY CATHERINE WOLF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "SOLE PROP",
        "authorized_official_telephone_number": "209-634-5611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.