Ganelle Louise Dippe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC10832 Issued in CA

Practice address

7765 Bodega Ave
Sebastopol, CA 95472

Phone

(707) 823-6406

Fax

(707) 823-6408

NPI assigned

Feb 26, 2007

Last updated

Jun 9, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1881720308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7765 BODEGA AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "95472",
            "telephone_number": "707-823-6406",
            "fax_number": "707-823-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 BODEGA AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "95472",
            "telephone_number": "707-823-6406",
            "fax_number": "707-823-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPPE",
        "first_name": "GANELLE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC10832",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 001351 L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ542232",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chase L Desso, LAC
• Kevin R Deutsche, RPA-C
• Eric Lee Dick, LEP
• Timothy F Dimick
• Dippe Chiropractic Corporation (Life Chiropractic Office)
• Jerry William Dippe, DC
• Gerald Earl Dixon, D.D.S.
• Scott Edward Dixon, D.D.S.
• Doble Chiropractic Corp
• Richard W Doble Jr., CHIROPRACTOR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.