Active NPI
Brian Herline Chiropractic Inc
- Chiropractor
- Modesto, CA
National Provider Identifier
1780948174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0174130
- Legal business name
- BRIAN HERLINE CHIROPRACTIC INC
- Practice address
- 2150 Scenic Dr
Modesto, CA 95355-4402 - Phone
- (209) 527-8560
- NPI assigned
- Jun 29, 2012
- 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
- Brian J Herline, D.C.
- Title
- Owner/Doctor
- Phone
- (209) 527-8560
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 | DC0174130 | CA | Primary |
Addresses
Primary practice location
2150 Scenic Dr
Modesto, CA 95355-4402
Mailing address
2150 Scenic Dr
Modesto, CA 95355-4402
Phone (209) 527-8560
Other names 1
- Baker Family Chiropractic Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140528001820 | CA | Part B Supplier - Clinic/Group Practice | 8123241759 |
Receives reassigned benefits from 3 practitioners Practice locations: Modesto, CA |
National Provider Directory
National Provider DirectoryLocations
2150 Scenic Dr
Modesto, CA 95355
Phone (209) 527-8560
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Modesto, CA
- NPI 1295885812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405296000000",
"number": "1780948174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 SCENIC DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554402",
"telephone_number": "209-527-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 SCENIC DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554402",
"telephone_number": "209-527-8560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN HERLINE CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-29",
"last_updated": "2014-07-14",
"status": "A",
"authorized_official_last_name": "HERLINE",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "209-527-8560",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC0174130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baker Family Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.