Organization Active NPI

Broadstone Chiropractic Inc

  • Clinic/Center
  • Folsom, CA
National Provider Identifier
1932377934
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC28846 Issued in CA
Legal business name
BROADSTONE CHIROPRACTIC INC
Practice address
2690 E. Bidwell St.
Suite 400
Folsom, CA 95630
Phone
(916) 983-7771
Fax
(916) 983-7996
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Mrs. Casey Leigh Wilson
Title
Office Manager
Phone
(916) 983-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DC28846 CA Primary

Addresses

Primary practice location

2690 E. Bidwell St.
Suite 400
Folsom, CA 95630

Mailing address

2690 E Bidwell St
Suite 400
Folsom, CA 95630-6430
Phone (916) 983-7771

National Provider Directory

National Provider Directory

Locations

2690 E Bidwell St
Ste 400
Folsom, CA 95630
Phone (916) 983-7771

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1932377934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 E BIDWELL ST",
            "address_2": "SUITE 400",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306430",
            "telephone_number": "916-983-7771",
            "fax_number": "916-983-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 E. BIDWELL ST.",
            "address_2": "SUITE 400",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-983-7771",
            "fax_number": "916-983-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADSTONE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-983-7771",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC28846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.