Organization Active NPI

Milpitas Spine Center

  • Chiropractor
  • Milpitas, CA
National Provider Identifier
1720116767
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30413 Issued in CA
Legal business name
MILPITAS SPINE CENTER
Practice address
40 N Park Victoria Dr
Milpitas, CA 95035-4600
Phone
(408) 942-1122
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dhanish Patel, DCNPI 1457412041
Title
Chiropractor
Phone
(209) 601-5803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 30413 CA Primary

Addresses

Primary practice location

40 N Park Victoria Dr
Milpitas, CA 95035-4600

Mailing address

40 N Park Victoria Dr
Milpitas, CA 95035-4600
Phone (408) 942-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070607000721 CA Part B Supplier - Clinic/Group Practice 9436257805 Receives reassigned benefits from 1 practitioner
Practice locations: Milpitas, CA

National Provider Directory

National Provider Directory

Locations

40 N Park Victoria Dr
Ste G
Milpitas, CA 95035
Phone (209) 601-5803

40 N Park Victoria Dr
Milpitas, CA 95035
Phone (408) 942-1122

Practitioners & affiliated clinicians

Practitioners 2

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1720116767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N PARK VICTORIA DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354600",
            "telephone_number": "408-942-1122",
            "fax_number": "408-935-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N PARK VICTORIA DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354600",
            "telephone_number": "408-942-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILPITAS SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHANISH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "209-601-5803",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.