Dippe Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC10832 Issued in CA

Legal business name

DIPPE CHIROPRACTIC CORPORATION

Practice address

7765 Bodega Ave
Sebastopol, CA 95472-3575

Phone

(707) 823-6406

Fax

(707) 823-6408

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerry William Dippe', D.C.

Title

Owner

Phone

(707) 823-6406

Specialties & licenses 4

Addresses

Other names 1

• Life Chiropractic Office Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trevor Ross Miller, D.C.

  • Chiropractor
  • Sebastopol, CA
  • NPI 1164811683
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1740493402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7765 BODEGA AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723575",
            "telephone_number": "707-823-6406",
            "fax_number": "707-823-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 BODEGA AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723575",
            "telephone_number": "707-823-6406",
            "fax_number": "707-823-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPPE CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "DIPPE'",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-823-6406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC10776",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001454L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC10832",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001351L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Chiropractic Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Derutte
• Chase L Desso, LAC
• Kevin R Deutsche, RPA-C
• Eric Lee Dick, LEP
• Timothy F Dimick
• Ganelle Louise Dippe, DC
• Jerry William Dippe, DC
• Gerald Earl Dixon, D.D.S.
• Scott Edward Dixon, D.D.S.
• Doble Chiropractic Corp

• Chiropractor in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.