Joseph John Joly, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC28962 Issued in CA

Practice address

3909 Stevenson Blvd
Suite D
Fremont, CA 94538-2312

Phone

(510) 249-9037

Fax

(510) 249-9659

NPI assigned

Mar 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kerry Chan DC Chiropractic & Wellness

  • Chiropractor
  • Fremont, CA
  • NPI 1407507460
  NPD (past)

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720117179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 STEVENSON BLVD",
            "address_2": "SUITE D",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382312",
            "telephone_number": "510-249-9037",
            "fax_number": "510-249-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 STEVENSON BLVD",
            "address_2": "SUITE D",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382312",
            "telephone_number": "510-249-9037",
            "fax_number": "510-249-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLY",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC28962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Johnson, M.S.
• Monique Johnson
• Timothy David Johnson, P.T.A.
• Warren Marion Johnson, DPM
• Elizabeth Jokerst, M.D.
• Jonathan Mattice Family Therapy Corporation
• Aliah L Jones
• Amelia Jones
• Breanna Jonay Jones
• Dashanna Jones

• Sports Physician Chiropractor in Fremont, CA
• Providers in Fremont, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.