Organization Active NPI

Nolan Sport & Family Chiropractic

  • Chiropractor
  • Oakland, CA
National Provider Identifier
1740172881
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NOLAN SPORT & FAMILY CHIROPRACTIC
Practice address
5707 Redwood Rd Ste 7
Oakland, CA 94619-2400
Phone
(510) 610-9210
Fax
(510) 389-3100
NPI assigned
Jul 15, 2025
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Dr. Jennifer I Nolan, DCNPI 1457805434
Title
Owner, Doctor of Chiropractic
Phone
(310) 918-7436

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

5707 Redwood Rd Ste 7
Oakland, CA 94619-2400

Mailing address

81 Donna Way
Oakland, CA 94605-5037
Phone (310) 918-7436

Other practice location 1

121 2nd St
Oakland, CA 94607-4513
Phone (510) 610-9210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250929003927 CA Part B Supplier - Clinic/Group Practice 2062918048 Receives reassigned benefits from 3 practitioners
Practice locations: Oakland, CA

National Provider Directory

National Provider Directory

Locations

121 2nd St
Oakland, CA 94607
Phone (510) 610-9210

5707 Redwood Rd
Ste 7
Oakland, CA 94619
Phone (408) 964-0357

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1740172881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 DONNA WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055037",
            "telephone_number": "310-918-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 REDWOOD RD STE 7",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192400",
            "telephone_number": "510-610-9210",
            "fax_number": "510-389-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 2nd St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946074513",
            "country_code": "US",
            "telephone_number": "510-610-9210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOLAN SPORT & FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER, DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "310-918-7436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.