Bartlett Chiropractic, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DC23426 Issued in CA

Legal business name

BARTLETT CHIROPRACTIC, INC

Practice address

2718 Tachevah Dr
Santa Rosa, CA 95405-8420

Phone

(707) 579-8150

Fax

(707) 579-8161

NPI assigned

Jul 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brian A Bartlett, D.C.NPI 1154426930

Title

Chiropactor/Owner

Phone

(707) 579-8150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian A Bartlett, DC

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1154426930
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1770924326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 TACHEVAH DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058420",
            "telephone_number": "707-579-8150",
            "fax_number": "707-579-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 TACHEVAH DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058420",
            "telephone_number": "707-579-8150",
            "fax_number": "707-579-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLETT CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPACTOR/OWNER",
        "authorized_official_telephone_number": "707-579-8150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC23426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Barter, MS
• Barth Vision Surgical Suite LLC
• Hanya Barth, M.D.
• Lauren Marley Barth
• Susan Bartholome
• Brian A Bartlett, DC
• Carolyn Bartlett, O.T., C.H.T.
• Kristine Bartlett, PSY.D.
• Tara Corinne Bartlett, DO
• William H Bartlett, MD

• Clinic/Center in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.