Fresno Spine and Sport

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FRESNO SPINE AND SPORT

Practice address

7413 N. Cedar Avenue
Suite 101
Fresno, CA 93720

Phone

(559) 440-1811

Fax

(559) 440-1825

NPI assigned

Oct 16, 2007

Last updated

Jul 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert L. Jones, D.C.

Title

President/Owner

Phone

(559) 440-1811

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1851580781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 N. CEDAR AVENUE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-440-1811",
            "fax_number": "559-440-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 N. CEDAR AVENUE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-440-1811",
            "fax_number": "559-440-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO SPINE AND SPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "559-440-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC025148",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ62601Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fresno Sleep Wake Center Inc,
• Fresno Sleep-Wake Disorder Center of California, Inc. (Sleep/Wake Disorders Center Fresno)
• Fresno Snoring and Sleep Therapy
• Fresno Specialized Spine & Physical Therapy, Inc. (Specialized Physical Therapy)
• Fresno Specialty Surgery Center PC
• Fresno State University Health and Psychological Serviceds
• Fresno Surgery Center LP
• Fresno Unified School District Dept. of Health Services
• Fresno VA
• Fresno Valley SNF, LLC (Orchard Post Acute)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.