Organization Active NPI

Pisenti Chiropractic, Inc

  • Chiropractor
  • Santa Rosa, CA
National Provider Identifier
1942483755
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
63141 Issued in CA
Legal business name
PISENTI CHIROPRACTIC, INC
Practice address
2725 Mendocino Ave
Suite C
Santa Rosa, CA 95403-2805
Phone
(707) 544-5338
Fax
(707) 544-5193
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Mr. Patrick F Pisenti, D.C.NPI 1821124074
Title
Owner
Phone
(707) 544-5338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 63141 CA Primary

Addresses

Primary practice location

2725 Mendocino Ave
Suite C
Santa Rosa, CA 95403-2805

Mailing address

2725 Mendocino Ave
Suite C
Santa Rosa, CA 95403-2805
Phone (707) 544-5338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071228000531 CA Part B Supplier - Clinic/Group Practice 7012097215 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Rosa, CA

National Provider Directory

National Provider Directory

Locations

2725 Mendocino Ave
#C
Santa Rosa, CA 95403
Phone (707) 544-5338

830 2nd St
Ste B
Santa Rosa, CA 95404
Phone (707) 494-2501

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": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1942483755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 MENDOCINO AVE",
            "address_2": "SUITE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032805",
            "telephone_number": "707-544-5338",
            "fax_number": "707-544-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 MENDOCINO AVE",
            "address_2": "SUITE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032805",
            "telephone_number": "707-544-5338",
            "fax_number": "707-544-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISENTI CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "PISENTI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-544-5338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "63141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.