Active NPI
Richard Michael Dolan, DC
- Chiropractor
- Santa Rosa, CA
National Provider Identifier
1871682021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC13766
- Practice address
- 900 Vallejo Street
Santa Rosa, CA 95404-5115 - Phone
- (707) 545-6599
- Fax
- (707) 545-1970
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC13766 | CA | Primary |
Addresses
Primary practice location
900 Vallejo Street
Santa Rosa, CA 95404-5115
Mailing address
900 Vallejo Street
Santa Rosa, CA 95404-5115
Phone (707) 545-6599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150716002864 | CA | Practitioner - Chiropractic | 2961715164 | Practice locations: Santa Rosa, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
900 Vallejo St
Santa Rosa, CA 95404-5115
Phone (707) 545-6599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC13766 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1871682021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 VALLEJO STREET",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954045115",
"telephone_number": "707-545-6599",
"fax_number": "707-545-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 VALLEJO STREET",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954045115",
"telephone_number": "707-545-6599",
"fax_number": "707-545-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "RICHARD",
"middle_name": "MICHAEL",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC13766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.