Organization Active NPI

Fox Chiropractic, Inc.

  • Chiropractor
  • Cameron Park, CA
National Provider Identifier
1811227218
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30805 Issued in CA
Legal business name
FOX CHIROPRACTIC, INC.
Practice address
3370 Country Club Dr
Cameron Park, CA 95682-8633
Phone
(530) 350-7314
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Dr. Brandon Fox, D.C.NPI 1013157619
Title
President
Phone
(530) 350-7314

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 DC30805 CA Primary

Addresses

Primary practice location

3370 Country Club Dr
Cameron Park, CA 95682-8633

Mailing address

3370 Country Club Dr
Cameron Park, CA 95682-8633
Phone (530) 350-7314

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000937 CA Part B Supplier - Clinic/Group Practice 7517096712 Receives reassigned benefits from 1 practitioner
Practice locations: Cameron Park, CA

National Provider Directory

National Provider Directory

Locations

3370 Country Club Dr
Cameron Park, CA 95682
Phone (530) 350-7314

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": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1811227218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 COUNTRY CLUB DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828633",
            "telephone_number": "530-350-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 COUNTRY CLUB DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828633",
            "telephone_number": "530-350-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-350-7314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.