Active NPI
Plutchok Chiropractic & Wellness Inc
- Sports Physician Chiropractor
- San Diego, CA
National Provider Identifier
1760778062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC30994
- Legal business name
- PLUTCHOK CHIROPRACTIC & WELLNESS INC
- Practice address
- 4510 Executive Dr
Plaza 5
San Diego, CA 92121-3021 - Phone
- (858) 452-3734
- Fax
- (858) 452-6666
- NPI assigned
- Jun 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Todd Plutchok, D.C.
- Title
- Ceo
- Phone
- (858) 452-3734
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC30994 | CA | Primary |
Addresses
Primary practice location
4510 Executive Dr
Plaza 5
San Diego, CA 92121-3021
Mailing address
4510 Executive Dr
Plaza 5
San Diego, CA 92121-3021
Phone (858) 452-3734
National Provider Directory
National Provider DirectoryLocations
4510 Executive Dr
#5
San Diego, CA 92121
Phone (858) 452-3734
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Chiropractor
- San Diego, CA
- NPI 1023265519
-
- Chiropractor
- San Diego, CA
- NPI 1609053479
-
- Sports Physician Chiropractor
- San Diego, CA
- NPI 1255456505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308873600000",
"number": "1760778062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DR",
"address_2": "PLAZA 5",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213021",
"telephone_number": "858-452-3734",
"fax_number": "858-452-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DR",
"address_2": "PLAZA 5",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213021",
"telephone_number": "858-452-3734",
"fax_number": "858-452-6666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLUTCHOK CHIROPRACTIC & WELLNESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-24",
"last_updated": "2011-06-24",
"status": "A",
"authorized_official_last_name": "PLUTCHOK",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "858-452-3734",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC30994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.