Organization Active NPI

Michael Fiske DC -- White Oak Chiropractic. Inc.

  • Chiropractor
  • Vacaville, CA
National Provider Identifier
1902242472
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29666 Issued in CA
Legal business name
MICHAEL FISKE DC -- WHITE OAK CHIROPRACTIC. INC.
Practice address
292 Alamo Dr Ste 1
Vacaville, CA 95688-4243
Phone
(707) 446-1714
Fax
(707) 446-6229
NPI assigned
May 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2020

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

Authorized official

Name
Dr. Michael Farnham Fiske
Title
Director
Phone
(707) 446-1714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC29666 CA Primary

Addresses

Primary practice location

292 Alamo Dr Ste 1
Vacaville, CA 95688-4243

Mailing address

292 Alamo Dr Ste 1
Vacaville, CA 95688-4243
Phone (707) 446-1714

National Provider Directory

National Provider Directory

Locations

292 Alamo Dr
Ste 1
Vacaville, CA 95688
Phone (707) 446-1714

Practitioners & affiliated clinicians

Practitioners 3

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": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580515200000",
    "number": "1902242472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 ALAMO DR STE 1",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884243",
            "telephone_number": "707-446-1714",
            "fax_number": "707-446-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 ALAMO DR STE 1",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884243",
            "telephone_number": "707-446-1714",
            "fax_number": "707-446-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL FISKE DC -- WHITE OAK CHIROPRACTIC. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A",
        "authorized_official_last_name": "FISKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FARNHAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-446-1714",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; 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.