Organization Active NPI

Family Chiropractic Center

  • Chiropractor
  • Poway, CA
National Provider Identifier
1861669335
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
22140 Issued in CA
Legal business name
FAMILY CHIROPRACTIC CENTER
Practice address
12285 Scripps Poway Pkwy
Suite 103
Poway, CA 92064-6149
Phone
(858) 578-0058
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Dr. Douglas Robert Roche, D.C.NPI 1891842068
Title
Owner
Phone
(858) 578-0058

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 22140 CA Primary

Addresses

Primary practice location

12285 Scripps Poway Pkwy
Suite 103
Poway, CA 92064-6149

Mailing address

12285 Scripps Poway Pkwy
Suite 103
Poway, CA 92064-6149
Phone (858) 578-0058

National Provider Directory

National Provider Directory

Locations

12285 Scripps Poway Pkwy
Ste 103
Poway, CA 92064
Phone (760) 622-2773

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": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1861669335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12285 SCRIPPS POWAY PKWY",
            "address_2": "SUITE 103",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920646149",
            "telephone_number": "858-578-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12285 SCRIPPS POWAY PKWY",
            "address_2": "SUITE 103",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920646149",
            "telephone_number": "858-578-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-578-0058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.