Charles Michael Prins, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

17808 Issued in CA

Practice address

1308 Solano Avenue
Albany, CA 94706-1826

Phone

(510) 526-6243

Fax

(510) 526-6271

NPI assigned

Oct 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Siu Chiropractic Inc

  • Chiropractor
  • Corte Madera, CA
  • NPI 1336713767
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1760671002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 SOLANO AVENUE",
            "address_2": "PRINS CHIROPRACTIC",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061826",
            "telephone_number": "510-526-6243",
            "fax_number": "510-526-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 SOLANO AVENUE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061826",
            "telephone_number": "510-526-6243",
            "fax_number": "510-526-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINS",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Marie Pittman, CMT
• Ariella Vered Popple, PSYD
• Stacey Anne Preston, D.C.
• Edna Carolina Prieto, MD
• Primary Care Affiliates, Inc. (El Cerrito Medical Group)
• Sharon Priven, LCSW
• Natalie Suzanne Purkey, LAC
• Jessida Putkaew
• Xiuping Qi I, ACUPUNCTURIST
• Robert Philip Ragucci, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.