Natoma Station Chiropractic

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC26511 Issued in CA

Legal business name

NATOMA STATION CHIROPRACTIC

Practice address

231 Blue Ravine Rd
Suite 200
Folsom, CA 95630-3893

Phone

(916) 985-7575

NPI assigned

Mar 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dennis M Wazac, DCNPI 1750446407

Title

Owner

Phone

(916) 985-7575

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis M Wazac, D.C.

  • Rehabilitation Chiropractor
  • Folsom, CA
  • NPI 1750446407
  NPD (past) Authorized official
• Kelly Cullen, D.C.

  • Chiropractor
  • Folsom, CA
  • NPI 1619391240
  NPD (past)
• Kenna Son

  • Chiropractor
  • Folsom, CA
  • NPI 1386585206
  NPD (past)

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

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206748800000",
    "number": "1922270990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 BLUE RAVINE RD",
            "address_2": "SUITE 200",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303893",
            "telephone_number": "916-985-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 BLUE RAVINE RD",
            "address_2": "SUITE 200",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303893",
            "telephone_number": "916-985-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATOMA STATION CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-29",
        "last_updated": "2008-03-29",
        "status": "A",
        "authorized_official_last_name": "WAZAC",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-985-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC26511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ62244Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryam Nateghi
• National Vision Inc
• National Vision, Inc.
• Nativity Pediatrics, Inc
• Nativity Pediatrics, Inc.
• Jennifer Nava, LMFT
• Kathryn Navarra, LMFT
• Shanna Naylor, MSN, NP, RN
• Anca V. Neacsu, M.D.
• Marcia Y. Nearing, O.D.

• Rehabilitation Chiropractor in Folsom, CA
• Providers in Folsom, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.