Dolores Anne Phin, D.C.

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

DC 22027 Issued in CA

Practice address

543 Orange Ave
Coronado, CA 92118-1826

Phone

(619) 437-4900

Fax

(619) 437-4909

NPI assigned

Sep 10, 2007

Last updated

Apr 1, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1801081179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 ORANGE AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181826",
            "telephone_number": "619-437-4900",
            "fax_number": "619-437-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 ORANGE AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181826",
            "telephone_number": "619-437-4900",
            "fax_number": "619-437-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIN",
        "first_name": "DOLORES",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CA",
            "license": "DC 22027",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "FL",
            "license": "CH 9297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Sue Petersen, LCSW
• Laura Norton Petrovich, MD
• Michelle Pham, OD
• Alexander Phillips, DDS
• Kelsey Coria Phillips, DDS
• Markay Picou-McKinney, MA
• Jaime Pitner
• Suzanne Margaret Popp, DDS
• Jorge Porras, M.D.
• Paul Potter

• Pediatric Chiropractor in Coronado, CA
• Providers in Coronado, CA by specialty
• Pediatric Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.