Christian Quinn Iwanicki

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

18722 Issued in CA

Practice address

429 William St
Vacaville, CA 95688-4530

Phone

(707) 447-8100

NPI assigned

Nov 4, 2019

Last updated

Nov 4, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Conner Chiropractic Care Corp.

  • Chiropractor
  • Vacaville, CA
  • NPI 1447559851
  NPD

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1902440829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S 8TH ST",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956203615",
            "telephone_number": "707-592-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 WILLIAM ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884530",
            "telephone_number": "707-447-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWANICKI",
        "first_name": "CHRISTIAN",
        "middle_name": "QUINN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanadi Isbeih, RBT
• Ishaan Talwar, DDS, Inc
• Edwina Michelle Island, LMFT
• Janice Ivie, NP
• Ivories Shine Bright LLC
• Sharon Izen-Tengbergen, M.F.T.
• Zelikha Izmarai
• Aileen J. Jaber, MD
• Jackman Family Dentistry
• Jackson Medical Supply Inc

• Acupuncturist in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.