Organization Active NPI

Fishkin Chiropractic, a Professional Corporation

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1740518596
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FISHKIN CHIROPRACTIC, A PROFESSIONAL CORPORATION
Practice address
2460 Mission St
Suite 203
San Francisco, CA 94110-2467
Phone
(415) 282-8989
Fax
(415) 920-0205
NPI assigned
Dec 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Dr. William Henry Fishkin, DC
Title
Owner
Phone
(415) 282-8989

Specialties & licenses 1

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

Addresses

Primary practice location

2460 Mission St
Suite 203
San Francisco, CA 94110-2467

Mailing address

2460 Mission St
Suite 203
San Francisco, CA 94110-2467
Phone (415) 282-8989

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100927000446 CA Part B Supplier - Clinic/Group Practice 4880710979 Practice locations: Oakland, CA; San Francisco, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1740518596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 MISSION ST",
            "address_2": "SUITE 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102467",
            "telephone_number": "415-282-8989",
            "fax_number": "415-920-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 MISSION ST",
            "address_2": "SUITE 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102467",
            "telephone_number": "415-282-8989",
            "fax_number": "415-920-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHKIN CHIROPRACTIC, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "FISHKIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-282-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.