Active NPI
Merritt Chiropractic Inc
- Chiropractor
- Castro Valley, CA
National Provider Identifier
1770935520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC33525
- Legal business name
- MERRITT CHIROPRACTIC INC
- Practice address
- 20161 Wisteria St Apt 6
Castro Valley, CA 94546-4161 - Phone
- (925) 272-0963
- NPI assigned
- Jul 5, 2016
- 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
- Sarah Merritt
- Title
- Owner
- Phone
- (925) 272-0963
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC33525 | CA | Primary |
Addresses
Primary practice location
20161 Wisteria St Apt 6
Castro Valley, CA 94546-4161
Mailing address
2110 Omega Rd Ste C
San Ramon, CA 94583-1295
Phone (925) 272-0963
Other names 1
- The Modern Doc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2110 Omega Rd
Ste C
San Ramon, CA 94583
Phone (925) 272-0963
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- San Ramon, CA
- NPI 1598119521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587340800000",
"number": "1770935520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 OMEGA RD STE C",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831295",
"telephone_number": "925-272-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20161 WISTERIA ST APT 6",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945464161",
"telephone_number": "925-272-0963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERRITT CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-05",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A",
"authorized_official_last_name": "MERRITT",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "925-272-0963"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC33525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Modern Doc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.