Individual provider Active NPI

Reilly Lane Dolcini, DC

  • Pediatric Chiropractor
  • Petaluma, CA
National Provider Identifier
1841150497
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
DC37478 Issued in CA
Practice address
1476 Professional Dr Ste 505
Petaluma, CA 94954-1500
Phone
(707) 242-6624
NPI assigned
Nov 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X DC37478 CA Primary

Addresses

Primary practice location

1476 Professional Dr Ste 505
Petaluma, CA 94954-1500

Mailing address

1200 Marshall Petaluma Rd
Petaluma, CA 94952-9458
Phone (707) 775-8167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC37478CAMDPediatric Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1841150497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MARSHALL PETALUMA RD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949529458",
            "telephone_number": "707-775-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 PROFESSIONAL DR STE 505",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541500",
            "telephone_number": "707-242-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLCINI",
        "first_name": "REILLY",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CA",
            "license": "DC37478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.