Bruce E Dwelly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0201710 Issued in CA

Practice address

4944 Sunrise Blvd
Ste a
Fair Oaks, CA 95628

Phone

(916) 863-6288

Fax

(916) 863-1144

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801954318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 SUNRISE BLVD",
            "address_2": "STE A",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "95628",
            "telephone_number": "916-863-6288",
            "fax_number": "916-863-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 SUNRISE BLVD",
            "address_2": "STE A",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "95628",
            "telephone_number": "916-863-6288",
            "fax_number": "916-863-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWELLY",
        "first_name": "BRUCE",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "0201710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Druckrey
• DRX One Health Services, P.C.
• Elizabeth Ann Duenas I
• Christina Genevieve Duffy, LMFT
• Diane Duffy
• Rachel Grace Dwyer, PPS
• Daniil Dychok Sr.
• Candace Marie Edwards
• Chukwuemeka N Ekwuru, RN
• Shanika Tanae Elebeck

• Chiropractor in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.