Blue Oak Chiropractic Incorporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC31336 Issued in CA

Legal business name

BLUE OAK CHIROPRACTIC INCORPORATED

Practice address

2260 E Bidwell St Ste 108
Folsom, CA 95630-3463

Phone

(916) 984-6555

Fax

(916) 984-6777

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Robert Falke, D.C.NPI 1730311424

Title

Ceo

Phone

(916) 984-6555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Robert Falke, D.C.

  • Chiropractor
  • Folsom, CA
  • NPI 1730311424
  Medicare reassignment NPD Authorized official
• Marcello Caso, MD, DC

  • Adult Medicine Physician
  • Folsom, CA
  • NPI 1629238027

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1811260854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 E BIDWELL ST STE 108",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303463",
            "telephone_number": "916-984-6555",
            "fax_number": "916-984-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 E BIDWELL ST STE 108",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303463",
            "telephone_number": "916-984-6555",
            "fax_number": "916-984-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE OAK CHIROPRACTIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "FALKE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-984-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CG895A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian R Blackburn, D.O.
• Angela Jean Blaikie, PT
• Dina Merrill Blake, L.M.F.T.
• Patricia Blaylock, FNP
• Bloom Acupuncture and Integrative Medicine
• Bluff Enterprises Corp
• Kaleb Boas, MA, LMFT
• Katlin Nicole Boas, LMFT
• Manjula Bobbala, M.D
• Body Concepts Inc.

• Chiropractor in Folsom, CA
• Providers in Folsom, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.