Organization Active NPI

Merritt Chiropractic Inc

  • Chiropractor
  • Castro Valley, CA
National Provider Identifier
1770935520
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC33525 Issued in CA
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

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Sarah MerrittNPI 1598119521
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200421000005 CA Part B Supplier - Clinic/Group Practice 5193155877 Receives reassigned benefits from 1 practitioner
Practice locations: San Ramon, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.