Individual provider Active NPI

Diane Sharon Bellwood, D.C.

  • Chiropractor
  • Rancho Cucamonga, CA
National Provider Identifier
1750583456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
18328 Issued in CA
Practice address
8645 Haven Ave
Suite 700
Rancho Cucamonga, CA 91730-4818
Phone
(909) 941-0633
Fax
(909) 945-5372
NPI assigned
Jun 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 18328 CA Primary

Addresses

Primary practice location

8645 Haven Ave
Suite 700
Rancho Cucamonga, CA 91730-4818

Mailing address

8645 Haven Ave
Suite 700
Rancho Cucamonga, CA 91730-4818
Phone (909) 941-0633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750583456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 HAVEN AVE",
            "address_2": "SUITE 700",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304818",
            "telephone_number": "909-941-0633",
            "fax_number": "909-945-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 HAVEN AVE",
            "address_2": "SUITE 700",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304818",
            "telephone_number": "909-941-0633",
            "fax_number": "909-945-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLWOOD",
        "first_name": "DIANE",
        "middle_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "18328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.