Organization Active NPI

Harris Pain Clinic

  • Chiropractor
  • Eureka, CA
National Provider Identifier
1730450883
Registry record updated Jan 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0299220 Issued in CA
Legal business name
HARRIS PAIN CLINIC
Practice address
311 W Harris St
Eureka, CA 95503-4030
Phone
(707) 444-3111
NPI assigned
Jan 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2012

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

Authorized official

Name
Dr. Daale Kenneth Winget, D.C.
Title
Owner
Phone
(707) 444-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0299220 CA Primary

Addresses

Primary practice location

311 W Harris St
Eureka, CA 95503-4030

Mailing address

311 W Harris St
Eureka, CA 95503-4030
Phone (707) 444-3111

Other identifiers 1

IdentifierTypeStateIssuer
DC0299220MedicaidCA

National Provider Directory

National Provider Directory

Locations

311 W Harris St
Eureka, CA 95503
Phone (707) 444-3111

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": "1327104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327104000000",
    "number": "1730450883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034030",
            "telephone_number": "707-444-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034030",
            "telephone_number": "707-444-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A",
        "authorized_official_last_name": "WINGET",
        "authorized_official_first_name": "DAALE",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-444-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0299220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0299220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; 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.