Organization Active NPI

Douglas Raymond Cole Trust

  • Chiropractor
  • Studio City, CA
National Provider Identifier
1760852164
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21656 Issued in CA
Legal business name
DOUGLAS RAYMOND COLE TRUST
Practice address
12153 Ventura Blvd Ste 104
Studio City, CA 91604-2500
Phone
(818) 515-4496
Fax
(818) 506-3806
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Douglas Raymond Cole, DCNPI 1396778031
Title
Trustee
Phone
(818) 515-4496

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC21656 CA Primary

Addresses

Primary practice location

12153 Ventura Blvd Ste 104
Studio City, CA 91604-2500

Mailing address

12153 Ventura Blvd Ste 104
Studio City, CA 91604-2500
Phone (818) 515-4496

National Provider Directory

National Provider Directory

Locations

12153 Ventura Blvd
Ste 104
Studio City, CA 91604
Phone (818) 515-4496

Practitioners & affiliated clinicians

Practitioners 2

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": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1760852164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12153 VENTURA BLVD STE 104",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042500",
            "telephone_number": "818-515-4496",
            "fax_number": "818-506-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12153 VENTURA BLVD STE 104",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042500",
            "telephone_number": "818-515-4496",
            "fax_number": "818-506-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS RAYMOND COLE TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "818-515-4496",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.