Valley Sport & Spine

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CA32312 Issued in CA

Legal business name

VALLEY SPORT & SPINE

Practice address

19151 Sonoma Hwy
Sonoma, CA 95476-5449

Phone

(847) 340-1715

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Grant Michael Dobson, D.C.

Title

Owner

Phone

(847) 340-1715

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1851784540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19151 SONOMA HWY",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "95476",
            "telephone_number": "847-340-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19151 SONOMA HWY",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954765449",
            "telephone_number": "847-340-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SPORT & SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-340-1715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CA32312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.