Organization Active NPI

Craig L. Dillman, a Chiropractic Corporation

  • Orthopedic Chiropractor
  • San Diego, CA
National Provider Identifier
1720232564
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC14004 Issued in CA
Legal business name
CRAIG L. DILLMAN, A CHIROPRACTIC CORPORATION
Practice address
4295 Gesner St Ste 3a
San Diego, CA 92117-6649
Phone
(619) 275-0922
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dr. Craig L Dillman, D.C.
Title
President
Phone
(619) 275-0922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X DC14004 CA Primary

Addresses

Primary practice location

4295 Gesner St Ste 3a
San Diego, CA 92117-6649

Mailing address

4295 Gesner St Ste 3a
San Diego, CA 92117-6649
Phone (619) 275-0922

National Provider Directory

National Provider Directory

Locations

4295 Gesner St
Ste 3A
San Diego, CA 92117
Phone (619) 275-0922

Practitioners & affiliated clinicians

Practitioners 1

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": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1720232564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 GESNER ST STE 3A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176649",
            "telephone_number": "619-275-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 GESNER ST STE 3A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176649",
            "telephone_number": "619-275-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG L. DILLMAN, A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "DILLMAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-275-0922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC14004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.