Organization Active NPI

Collins Chiropractic Inc

  • Chiropractor
  • Clovis, CA
National Provider Identifier
1750462503
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21924 Issued in CA
Legal business name
COLLINS CHIROPRACTIC INC
Practice address
555 4TH St Ste 1
Clovis, CA 93612-1192
Phone
(559) 323-5000
Fax
(559) 323-5525
NPI assigned
Oct 18, 2006
Last updated
Sep 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Authorized official

Name
Dr. Victor Jay Collins, D.C.NPI 1750467817
Title
Doctor of Chiropractic
Phone
(559) 323-5000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DC21924 CA
Chiropractor 111N00000X DC21924 CA Primary

Addresses

Primary practice location

555 4TH St Ste 1
Clovis, CA 93612-1192

Mailing address

555 4TH Street
Ste 1
Clovis, CA 93612
Phone (559) 323-5000

Other identifiers 1

IdentifierTypeStateIssuer
DC0219240OtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

555 4th St
Ste 1
Clovis, CA 93612
Phone (559) 323-5000

Practitioners & affiliated clinicians

Practitioners 1

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1750462503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 4TH STREET",
            "address_2": "STE 1",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "93612",
            "telephone_number": "559-323-5000",
            "fax_number": "559-323-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 4TH ST STE 1",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121192",
            "telephone_number": "559-323-5000",
            "fax_number": "559-323-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "559-323-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC21924",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0219240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.