Organization Active NPI

Positive Edge Chiropractic

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1730453085
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32183 Issued in CA
Legal business name
POSITIVE EDGE CHIROPRACTIC
Practice address
9988 Hibert St Ste 205
San Diego, CA 92131-2480
Phone
(858) 635-9355
Fax
(858) 635-9104
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Niccole Marie Odell, D.C.
Title
Owner/Chiropractor
Phone
(858) 635-9355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 32183 CA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 32118 CA

Addresses

Primary practice location

9988 Hibert St Ste 205
San Diego, CA 92131-2480

Mailing address

9988 Hibert St Ste 205
San Diego, CA 92131-2480
Phone (858) 635-9355

National Provider Directory

National Provider Directory

Locations

9988 Hibert St
Ste 205
San Diego, CA 92131
Phone (858) 635-9355

9988 Hibert St
Ste 206
San Diego, CA 92131
Phone (858) 635-9355

10174 Old Grove Rd
Ste 140
San Diego, CA 92131

8760 Cuyamaca St
Ste 203
Santee, CA 92071
Phone (619) 258-1011

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1730453085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9988 HIBERT ST STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312480",
            "telephone_number": "858-635-9355",
            "fax_number": "858-635-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9988 HIBERT ST STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312480",
            "telephone_number": "858-635-9355",
            "fax_number": "858-635-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE EDGE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "NICCOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "858-635-9355",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32183",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32118",
            "primary": false
        }
    ],
    "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 Mar 5, 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.